Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214532 DEA: 07316904 EFIS: 0715000227
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-1,2,5,10-Various
Work Description: TUNNEL LIGHTING, MESSAGE SIGN SYSTEMS, RETAINING WALL & BUILDING WORK.
Location Description: LOS ANGELES COUNTY AT VARIOUS LOCATIONS
Contractor Name: ALDRIDGE ELECTRIC, INC.
Contractor Address: 2369 Yates Ave, Commerce, CA 90040
Resident Engineer: Frank Shin Structure Rep.: Frank Lotfi
DIME Sample ID: 2021-11-08-24
TL Number from the TL Form:
Sample Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Sample Organization Contact: (213) 817-0387
Type of Sample: Acceptance
Type of Material: Soil
Sample Taken Date: 11/08/2021
Date that the sample was received by the laboratory/organization performing the testing: 11/09/2021
The quantity of what the sample constitutes: 25 sqft
A brief description of the sample: Native Material
From where was the sample collected: Job Site
Laboratory sample identification: 21-2754
Structure unique identifier:
Structure name: I-10 WB Slope Behind MVP wall
The fabricator/manufacturer/facility name: Native Material
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: CTM 231 test location
Where the material sample would have been placed if not sampled:
DIME Test ID: 2021-11-08-24-1
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 817-0387
Data has not been verified.
DIME Test ID: 2021-11-08-24-2
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 817-0387
Data has not been verified.
