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Sample Record for 2015-02-23-1

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

Project Information

Project ID: 210088 DEA: 074X3804 EFIS: 0715000168 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-110-23.2/23.7
Work Description: Repair damaged highway and roadside facility
Location Description: LA-110 at the 101/10 & 5 connectors , in downtown LA
Contractor Name: PETERSON-CHASE GENERAL ENGINEERING CONSTRUCTION, INC.
Contractor Address: 1792 KAISER AVENUE, IRVINE, CA 92614
Resident Engineer: Ragy Samy Structure Rep.: Mark Amorsolo

Sample Information

DIME Sample ID: 2015-02-23-1
TL Number from the TL Form: C
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Preliminary
Type of Material: Soil
Sample Taken Date: 02/23/2015
Date that the sample was received by the laboratory/organization performing the testing: 02/24/2015
The quantity of what the sample constitutes: 1 Zip Bag
A brief description of the sample: Soil
From where was the sample collected: Job Site
Laboratory sample identification: 5024B
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: A 15 001 0 to 10 ft

Material Information

The fabricator's/manufacturer's product name for the sample: Unknown
The fabricator/manufacturer designation for the sample: Unknown
A detailed description of where the material sample was collected: Rte 110 PM 23 54
Where the material sample would have been placed if not sampled: Unknown

Test Results

Test 1 of 1

DIME Test ID: 2015-02-23-1-1
Test Method: CTM 643-June 2007: Method for Determining Field and Laboratory Resistivity and pH Measurements for Soil and Water
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
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.