Print Report | Back to Sample Detail

Sample Record for 2021-11-30-22

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

Project Information

Project ID: 214620 DEA: 07309304 EFIS: 0714000281 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-210,405,605-Various
Work Description: REINFORCE STRUCTURAL CONCRETE BRIDGE AND PLACE RHMA SHOULDER PAVING.
Location Description: LOS ANGELES COUNTY AT VARIOUS LOCATIONS
Contractor Name: Beador Const. Co. Inc.
Contractor Address: 26320 LESTER CIRCLE, CORONA CA 92883
Resident Engineer: MOHAMMAD IZADPANAH Structure Rep.: Richard Joludow

Sample Information

DIME Sample ID: 2021-11-30-22
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: 11/30/2021
Date that the sample was received by the laboratory/organization performing the testing: 11/30/2021
The quantity of what the sample constitutes: 40
A brief description of the sample: Arrow Highway column#1
From where was the sample collected: Job Site
Laboratory sample identification: 21-2857
Structure unique identifier: 21-2857
Structure name: Arrow Highway column1
The fabricator/manufacturer/facility name: Beador

Material Information

The fabricator's/manufacturer's product name for the sample: Beador
The fabricator/manufacturer designation for the sample: Beador
A detailed description of where the material sample was collected: Jobsite - compacted base
Where the material sample would have been placed if not sampled: Stockpile

Test Results