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Sample Record for 2021-10-08-32

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Project Information

Project ID: 214523 DEA: 07302504 EFIS: 0713000479 QA Service Level: 1
DIST-CO-RTE-PM: 07-VEN-23-R3.3/R11.5
Work Description: PLACE HMA AND JPCP AND INDIVIDUAL SLAB REPLACEMENT.
Location Description: VENTURA COUNTY FROM ROUTE 101/23 SEPARATION TO NEW LOS ANGELES AVENUE UNDERCROSSING
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 3075 Townsgate Road, Suite 200, Westlake Village, CA 91361
Resident Engineer: Alan Davis Structure Rep.: Aziz Maghsoudloo

Sample Information

DIME Sample ID: 2021-10-08-32
TL Number from the TL Form:
Sample Submitted By Organization: CT D07 - Material Lab, Unit 1953
Sample Organization Contact: (213) 817-0387
Type of Sample: Acceptance
Type of Material: Soil
Sample Taken Date: 10/08/2021
Date that the sample was received by the laboratory/organization performing the testing: 10/08/2021
The quantity of what the sample constitutes: 1 Bucket
A brief description of the sample: Soil for Subgrade.
From where was the sample collected: Job Site
Laboratory sample identification: 21-2571
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: security paving

Material Information

The fabricator's/manufacturer's product name for the sample: Subgrade
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: From various locations at subgrade.
Where the material sample would have been placed if not sampled:

Test Results

Test 1 of 1

DIME Test ID: 2021-10-08-32-1
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Submitted By Organization: CT D07 - Material Lab, Unit 1953
Organization Address: 1940 S. Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email:
Organization Phone: (213) 817-0387
Data has not been verified.

Tests Assigned to this Sample

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