Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2020-04-17-13
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Project Information
| Project Identifiers | Project ID: 214300 DEA: 07343404 EFIS: 0718000018 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-39-31.2 |
| Award Date | 10/30/2019 |
| Closeout Date | 05/06/2024 |
| Work Description | IN LOS ANGELES COUNTY, ON ROUTE 39 AT NORTH FORK SAN GABRIEL RIVER BRIDGE (BR. NO. 53-3069) REPLACE BRIDGE |
| Location Description | IN LOS ANGELES COUNTY ABOUT 19 MILES NORTH OF AZUSA AT NORTH FORK SAN GABRIEL RIVER BRIDGE |
| QA Service Level | 1 (Verified on 12/20/2019) |
Sample Information
| Sample Taken Date | 04/17/2020 | Sample Unique Key | 13 |
|---|---|---|---|
| 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 | 04/17/2020 |
| Sample type | Department Acceptance | A brief description of the sample | Structural Backfill |
| The quantity of what the sample constitutes | 4 Bags | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Honesto | Last name of sampler or witnessed by | Castillo |
| Title of sampler | MREAS | Telephone number of sampler | |
| Laboratory sample identification | 9844 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Vulcan Reliance Irwindale | Transportation Laboratory (TL) Number | 965760 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Soil | The fabricator's/manufacturer's product name for the sample | Unknown |
|---|---|---|---|
| The fabricator/manufacturer designation for the sample | Unknown | A detailed description of where the material sample was collected | na |
| Where the material sample would have been placed if not sampled | sta 3550 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-04-17-13-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2020-04-17-13-2 CTM 217-June 2011 (Verified)