Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2015-01-09-3

Project Information

Project IdentifiersProject ID: 3959
DEA: 072159C4
EFIS: 0700000339
DIST-CO-RTE-PM07-LA-5-001.8/003.0
Award Date08/19/2011
Closeout Date08/16/2018
Work DescriptionCARMENITA INTERCHANGE IMPROVEMENT
Location DescriptionLOS ANGELES COUNTY IN SANTA FE SPRINGS AND NORWALK FROM ALONDRA BOULEVARD OVERCROSSING TO SHOEMAKER AVENUE OVERCROSSING
QA Service Level1 (Verified on 05/01/2012)

Sample Information

Sample Taken Date01/09/2015 Sample Unique Key3
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 testing02/11/2015
Sample typeVerification A brief description of the sampleStructural Backfill Material
The quantity of what the sample constitutes1 From where was the sample collectedJob Site
First name of sampler or witnessed byCalvin Last name of sampler or witnessed byDao
Title of samplerTEC Telephone number of samplerUnknown
Laboratory sample identification15soil -0072 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameNot Given Transportation Laboratory (TL) NumberC080067
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 sampleStructural Backfill
The fabricator/manufacturer designation for the sampleUnknown A detailed description of where the material sample was collectedRW 13
Where the material sample would have been placed if not sampledUnknown

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