Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2024-05-01-10
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994351 DEA: 07322004 EFIS: 0716000053 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-118-R11.0/R14.0 |
| Award Date | 01/11/2023 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT STORMWATER TREATMENT DEVICES. |
| Location Description | THE CITY AND COUNTY OF LOS ANGELES FROM 0.1 MILE WEST OF ARLETA AVENUE UNDERCROSSING TO 0.1 MILE WEST OF ROUTE 118/210 SEPARATION |
| QA Service Level | 1 (Verified on 06/08/2023) |
Sample Information
| Sample Taken Date | 05/01/2024 | Sample Unique Key | 10 |
|---|---|---|---|
| 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 testing | 05/01/2024 |
| Sample type | Department Acceptance | A brief description of the sample | GSRD #9 off EB118 Paxton-1st lift GSRD #9 off EB118 Paxton-1st lift |
| The quantity of what the sample constitutes | 6 sy | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Sopheak | Last name of sampler or witnessed by | Chong |
| Title of sampler | TEC | Telephone number of sampler | 2138170174 |
| Laboratory sample identification | 24-0842 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Powell Construction | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | GSRD #9 off EB118 Paxton-1st lift | Bid Item | Not set |
Material Information
| Material Type | Soil | The fabricator's/manufacturer's product name for the sample | Structural Backfill |
|---|---|---|---|
| The fabricator/manufacturer designation for the sample | from various locations at SBF | A detailed description of where the material sample was collected | Jobsite |
| Where the material sample would have been placed if not sampled | Jobsite |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-05-01-10-1 CTM 231-March 2013
DIME Test ID: 2024-05-01-10-2 CTM 216-June 2011 (Verified)