Sample Record

Owner Lab

  • Alta Vista Solutions - Whittier

DIME Sample ID 2025-08-26-5

Project Information

Project IdentifiersProject ID: 1001169
DEA: 07314524
EFIS: 0722000300
COOP: 075283
DIST-CO-RTE-PM07---
Award Date07/03/2023
Closeout DateNot set
Work DescriptionI-105 METRO Express Lanes Project
Location DescriptionLA-105 PM R0.6/R10.1, LA-110 PM R14.1/R16.6
QA Service Level2 (Verified on 04/11/2025)

Sample Information

Sample Taken Date08/26/2025 Sample Unique Key5
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testingNot set
Sample typeQuality Assurance A brief description of the sampleSpec Chem Pave Cure WW
The quantity of what the sample constitutes1 qt. From where was the sample collectedJob Site
First name of sampler or witnessed byCarlos Last name of sampler or witnessed byViramontes
Title of samplerQA Inspector Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSpec Chem Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeCuring Compound Type of Curing CompoundPigmented Type 2 Class B (curing compound no. 2)
Batch Number2 Batch Size275 Gal.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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