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Sample Record for 2020-10-13-42

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 215314 DEA: 07333004 EFIS: 0716000298 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-5,5-15.1/22.9
Work Description: PROJECT PILOT 1
Location Description: LOS ANGELES COUNTY IN AND NEAR LOS ANGELES ON ROUTE 5 FROM 0.1 MILE SOUTH OF CALZONA STREET TO 0.1 MILE SOUTH OF RIVERSIDE DRIVE AND ROUTE 2 AT LOS ANGELES REGIONAL TRANSPORTATION MANAGEMENT CENTER
Contractor Name: Powell Constructors, Inc.
Contractor Address: 8555 Banana Ave, Fontana, CA 92335
Resident Engineer: Jerome Arabe Structure Rep.: Gon Choi

Sample Information

DIME Sample ID: 2020-10-13-42
TL Number from the TL Form: C4685706
Sample Submitted By Organization: Wood
Sample Organization Contact: (916) 396-3815
Type of Sample: Per Request
Type of Material: Soil
Sample Taken Date: 10/13/2020
Date that the sample was received by the laboratory/organization performing the testing: 11/18/2020
The quantity of what the sample constitutes: bag
A brief description of the sample: soil
From where was the sample collected: Job Site
Laboratory sample identification: CR20200508
Structure unique identifier: 07-LA-5-R15.1/R22.9
Structure name: NB I-5
The fabricator/manufacturer/facility name: Caltrans

Material Information

The fabricator's/manufacturer's product name for the sample: A-20-002
The fabricator/manufacturer designation for the sample: corrosion
A detailed description of where the material sample was collected: 0-25 feet depth
Where the material sample would have been placed if not sampled:

Test Results