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Sample Record for 2014-04-17-8000370

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Project Information

Project ID: 3807 DEA: 07121844 EFIS: 0700000117 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-5-42.8/47.3
Work Description: CONSTRUCT HOV LANES, RETAINING WALLS AND SOUND WALLS.
Location Description: LOS ANGELES COUNTY IN LOS ANGELES, GLENDALE, AND BURBANK FROM ROUTE 5/134 SEPARATION TO MAGNOLIA BOULEVARD OVERCROSSING
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 13170 TELFAIR AVENUE, SYLMAR, CA 91342
Resident Engineer: James Shih Structure Rep.: Matthew Remo

Sample Information

DIME Sample ID: 2014-04-17-8000370
TL Number from the TL Form:
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Acceptance
Type of Material: Soil
Sample Taken Date: 04/17/2014
Date that the sample was received by the laboratory/organization performing the testing: 04/23/2014
The quantity of what the sample constitutes: 2 Bags
A brief description of the sample: Structure Backfill
From where was the sample collected: Source
Laboratory sample identification: 4131B
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: MSE Wall E Sta. 10 30 at 168.50

Material Information

The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: MSE Wall E Sta. 10 30 at 168.50 Inspection Element Level
Where the material sample would have been placed if not sampled:

Test Results

Test 1 of 1

DIME Test ID: 2014-04-17-8000370-2
Test Method: CTM 643-June 2007: Method for Determining Field and Laboratory Resistivity and pH Measurements for Soil and Water
Verified Date: 11/19/2014
Date Tested: 04/27/2014
Submitted By Organization: CT - Southern Regional Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 213-792-4794
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Oops.. looks like no test results have been submitted for the test.

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.