Sample Record

Owner Lab

  • Alta Vista Solutions - Whittier

DIME Sample ID 2023-10-24-108

Project Information

Project IdentifiersProject ID: 210687
DEA: 07316604
DIST-CO-RTE-PM07-LA-1-41.8/42.1, 41.8-42.1
Award Date12/31/1969
Closeout Date08/22/2018
Work DescriptionINSTALL RSP TO PREVENT HIGH SURF FROM DESTROYING ROADWAY SUPPORT SLOPE, TRAVEL WAY
Location DescriptionIN LA,IN MALIBU 1MILE N/O TOPANGE CNY RD
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date10/24/2023 Sample Unique Key108
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 testing10/24/2023
Sample typeQuality Assurance A brief description of the sampleNative Soil
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byManuel Last name of sampler or witnessed byUy
Title of sampler Telephone number of sampler
Laboratory sample identification23-1753 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 TypeAggregate Source Identification (SMARA, name of Pit or Job Site)N/A
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedCTM 231 Test Holes
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/8 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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