Sample Record
Owner Lab
- Alta Vista Solutions - Whittier
DIME Sample ID 2024-11-27-11
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Project Information
| Project Identifiers | Project ID: 993527 DEA: 07327304 EFIS: 0716000126 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-103-0.1 |
| Award Date | 04/21/2022 |
| Closeout Date | Not set |
| Work Description | INSTALL PUMP PLANT EQUIPMENT AND DRAINAGE SYSTEM. |
| Location Description | THE CITY AND COUNTY OF LOS ANGELES AT HENRY FORD AVENUE OFF-RAMP |
| QA Service Level | 1 (Verified on 05/11/2022) |
Sample Information
| Sample Taken Date | 11/27/2024 | Sample Unique Key | 11 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 11/27/2024 |
| Sample type | Quality Assurance | A brief description of the sample | Structural Backfill |
| The quantity of what the sample constitutes | 35.5 SY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Kristopher | Last name of sampler or witnessed by | Martinez |
| Title of sampler | Materials Tester | Telephone number of sampler | 213-500-4518 |
| Laboratory sample identification | 24-3694 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | N/A | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | NB 47 Exit No. 5 Pier A Way | Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | N/A |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Structural backfill | The fabricator/manufacturer designation for the sample | Compaction testing |
| The plant number | A detailed description of where the material sample was collected | Jobsite | |
| Where the material sample would have been placed if not sampled | Jobsite | Primary Aggregate Nominal Size | 3/4 inch |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-11-27-11-1 CTM 231-March 2013 (Verified)
DIME Test ID: 2024-11-27-11-2 CTM 216-June 2011 (Verified)