Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 208642 DEA: 07252004 EFIS: 0712000074
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-405-39.4/48.6
Work Description: REPLACE CONC PAVEMENT WITH PRECAST PRESTRESSED CONC PAVEMENT.
Location Description: LOS ANGELES COUNTY IN LOS ANGELES FROM ROUTE 405/101 SEPARATION TO ROUTE 405/5 SEPARATION
Contractor Name: MYERS AND SONS CONSTRUCTION LP
Contractor Address: 2554 Millcreek Drive, Sacramento, CA 95833
Resident Engineer: Eid Emile Structure Rep.:
DIME Sample ID: 2014-02-13-6305930
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Preliminary
Type of Material: Soil
Sample Taken Date: 02/13/2014
Date that the sample was received by the laboratory/organization performing the testing: 02/18/2014
The quantity of what the sample constitutes: 1 Bag
A brief description of the sample: Soil
From where was the sample collected: Source
Laboratory sample identification: 4070B
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: S-1 (Fill)
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: S-1 (Fill)
Where the material sample would have been placed if not sampled:
DIME Test ID: 2014-02-13-6305930-1
Test Method: CTM 643-June 2007: Method for Determining Field and Laboratory Resistivity and pH Measurements for Soil and Water
Verified Date: 07/24/2014
Date Tested: 02/20/2014
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 9098293029
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Oops.. looks like no test results have been submitted for the test.
