Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994352 DEA: 07352104 EFIS: 0718000213
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-138-43.8
Work Description: INSTALL TRAFFIC SIGNAL SYSTEM AND UPGRADE CURB RAMPS.
Location Description: LOS ANGELES COUNTY IN PALMDALE AT SECOND STREET EAST.
Contractor Name: PTM General Engineering
Contractor Address: 5942 Acorn Street, Riverside,CA 92504
Resident Engineer: Ramy Beshara Structure Rep.: Unknown
DIME Sample ID: 2024-03-29-4
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: Department Acceptance
Type of Material: Soil
Sample Taken Date: 03/29/2024
Date that the sample was received by the laboratory/organization performing the testing: 03/29/2024
The quantity of what the sample constitutes: 41 sy
A brief description of the sample: LA138 & 2nd St. NE Corner
From where was the sample collected: Job Site
Laboratory sample identification: 24-0561
Structure unique identifier:
Structure name: LA138 & 2nd St. NE Corner
The fabricator/manufacturer/facility name: NA
The fabricator's/manufacturer's product name for the sample: Aggregate Base
The fabricator/manufacturer designation for the sample: various location A.B
A detailed description of where the material sample was collected: Jobsite
Where the material sample would have been placed if not sampled: Jobsite
DIME Test ID: 2024-03-29-4-1
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.
DIME Test ID: 2024-03-29-4-2
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.
