Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2014-05-05-13003665
Project Information
Project Identifiers | Project ID: 3807 DEA: 07121844 EFIS: 0700000117 |
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DIST-CO-RTE-PM | 07-LA-5-42.8/47.3 |
Award Date | 12/06/2010 |
Closeout Date | 06/30/2021 |
Work Description | CONSTRUCT HOV LANES, RETAINING WALLS AND SOUND WALLS. |
Location Description | LOS ANGELES COUNTY IN LOS ANGELES, GLENDALE, AND BURBANK FROM ROUTE 5/134 SEPARATION TO MAGNOLIA BOULEVARD OVERCROSSING |
QA Service Level | 1 (Verified on 02/23/2012) |
Sample Information
Sample Taken Date | 05/05/2014 | Sample Unique Key | 13003665 |
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Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 06/04/2014 |
Sample type | Acceptance | A brief description of the sample | Structural Backfill |
The quantity of what the sample constitutes | 2 Buckets | From where was the sample collected | Other |
First name of sampler or witnessed by | Matthew | Last name of sampler or witnessed by | Remo |
Title of sampler | ASR | Telephone number of sampler | Not set |
Laboratory sample identification | Lab No. 4160B | Linked DIME Sample ID | Not set |
The fabricator/manufacturer/facility name | MSE Wall A - Sta. 10 19 | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
Structure name | Not set |
Material Information
Material Type | Soil | The fabricator's/manufacturer's product name for the sample | Not set |
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The fabricator/manufacturer designation for the sample | Not set | A detailed description of where the material sample was collected | MSE Wall A - Sta. 10 19 |
Where the material sample would have been placed if not sampled | Not set |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2014-05-05-13003665-3 CTM 217-June 2011 (Verified)
DIME Test ID: 2014-05-05-13003665-4 CTM 643-June 2007 (Verified)