Sample Record
Owner Lab
- Alta Vista Solutions - Whittier
DIME Sample ID 2025-01-13-19
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Project Information
| Project Identifiers | Project ID: 994297 DEA: 07336804 EFIS: 0717000014 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-118-R4.5/R9.1 |
| Award Date | 11/17/2022 |
| Closeout Date | Not set |
| Work Description | PLACE CONCRETE AND INSTALL RAILINGS. |
| Location Description | THE CITY AND COUNTY OF LOS ANGELES FROM 0.1 MILE WEST OF TAMPA AVENUE TO WOODLEY AVENUE |
| QA Service Level | 1 (Verified on 10/06/2022) |
Sample Information
| Sample Taken Date | 01/13/2025 | Sample Unique Key | 19 |
|---|---|---|---|
| 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 | 01/13/2025 |
| Sample type | Quality Assurance | A brief description of the sample | Structural Backfill |
| The quantity of what the sample constitutes | 7 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Fernando | Last name of sampler or witnessed by | Carranza |
| Title of sampler | Materials Tester | Telephone number of sampler | 2132384209 |
| Laboratory sample identification | 25-0155 | 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 | WB Route 118 Location #24 WB Louise Ave Under Louise Ave Bridge | 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: 2025-01-13-19-1 CTM 231-March 2013 (Verified)
DIME Test ID: 2025-01-13-19-2 CTM 216-June 2011 (Verified)