Sample Record

Owner Lab

  • CT D07 - Materials Field Laboratory, Unit 1953

DIME Sample ID 2023-06-06-39

Project Information

Project IdentifiersProject ID: 994065
DEA: 07329704
EFIS: 0716000204
DIST-CO-RTE-PM07-LA-170-R14.5/R16.6
Award Date08/23/2022
Closeout Date09/24/2024
Work DescriptionPLACE STAMPED CONCRETE, ROCK BLANKETS AND CONSTRUCT MVPS.
Location DescriptionLOS ANGELES COUNTY FROM ROUTE 170/134 SEPARATION TO OXNARD STREET UNDERCROSSING
QA Service Level1 (Verified on 09/20/2022)

Sample Information

Sample Taken Date06/06/2023 Sample Unique Key39
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 testing06/06/2023
Sample typeDepartment Acceptance A brief description of the sampleSoil for Subgrade.
The quantity of what the sample constitutes114 yd2 From where was the sample collectedJob Site
First name of sampler or witnessed byRosauro Last name of sampler or witnessed byNogoy
Title of samplerTEC Telephone number of sampler2137939321
Laboratory sample identification23-0806 Linked DIME Sample ID
The fabricator/manufacturer/facility nameN/A 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 locations at subgrade.
Where the material sample would have been placed if not sampled

Submitted Tests

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