Sample Record

Owner Lab

  • CT D07 - Materials Field Laboratory, Unit 1953

DIME Sample ID 2021-11-01-15

Project Information

Project IdentifiersProject ID: 214573
DEA: 073096U4
EFIS: 0719000091
DIST-CO-RTE-PM07-LA-210-R0.0/R9.7
Award Date04/03/2020
Closeout Date06/06/2024
Work DescriptionPLACE CONCRETE PAVEMENT, BARRIER, HMA, DRAINAGE, AND ELECTRICAL.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES FROM INTERSTATE 5 TO WHEATLAND AVENUE UNDERCROSSING
QA Service Level1 (Verified on 06/05/2020)

Sample Information

Sample Taken Date11/01/2021 Sample Unique Key15
Date that the sample was received by the laboratory/organization performing the testing11/01/2021 Sample typeDepartment Acceptance
A brief description of the sampleSoil The quantity of what the sample constitutes1470 cy
From where was the sample collectedJob Site First name of sampler or witnessed byLou Ralph
Last name of sampler or witnessed byAchuela Title of samplerTET
Telephone number of sampler213-817-0504 Laboratory sample identification21-2685
Linked DIME Sample ID The fabricator/manufacturer/facility nameFlatiron
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSoil The fabricator's/manufacturer's product name for the sampleSubgrade
The fabricator/manufacturer designation for the sample A detailed description of where the material sample was collectedfrom various location at subgrade
Where the material sample would have been placed if not sampledlane 2 and lane 3

Submitted Tests

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