Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2014-05-23-8000567

Project Information

Project IdentifiersProject ID: 3951
DEA: 07202114
EFIS: 0700020869
DIST-CO-RTE-PM07-LA-710-17.2/26.4
Award Date04/04/2012
Closeout Date06/16/2021
Work DescriptionPAVE ROADWAY WITH LONG LIFE PAVEMENT AND WIDEN ROADWAY AND BRIDGES
Location DescriptionLOS ANGELES COUNTY ON ROUTE 710 AT VARIOUS LOCATIONS FROM LOS ANGELES RIVER BRIDGE TO RAMONA BOULEVARD UNDERCROSSING
QA Service Level1 (Verified on 11/27/2012)

Sample Information

Sample Taken Date05/23/2014 Sample Unique Key8000567
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 testing05/28/2014
Sample typeDepartment Acceptance A brief description of the sampleSoil for subgrade.
The quantity of what the sample constitutes1 Bag From where was the sample collectedSource
First name of sampler or witnessed byBen Last name of sampler or witnessed byEhsani
Title of samplerA.R.E. Telephone number of sampler(490) 413-5060
Laboratory sample identification4149B Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameS/B I-710 Cesar Chavez on ramp Sta. 315 00. Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSoil The fabricator's/manufacturer's product name for the sampleNot set
The fabricator/manufacturer designation for the sampleNot set A detailed description of where the material sample was collectedS/B I-710 Cesar Chavez on ramp Sta. 315 00.
Where the material sample would have been placed if not sampledNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments