Sample Record

Owner Lab

  • CT D07 - Material Lab, Unit 1953

DIME Sample ID 2021-03-04-29

Project Information

Project IdentifiersProject ID: 210735
DEA: 071193U4
EFIS: 0713000007
DIST-CO-RTE-PM07-LA-10-37.2/42.4
Award Date11/16/2015
Closeout DateNot set
Work DescriptionCONSTRUCT HOV LANES, WIDEN BRIDGES, AND REALIGN RAMPS.
Location DescriptionIN LA COUNTY FROM CITRUS STREET IN WEST COVINA TO ROUTE 57 IN POMONA
QA Service Level1 (Verified on 03/07/2016)

Sample Information

Sample Taken Date03/04/2021 Sample Unique Key29
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 testing03/05/2021
Sample typeQuality Assurance A brief description of the sampleNative Material
The quantity of what the sample constitutes12490 grams From where was the sample collectedJob Site
First name of sampler or witnessed byChad Last name of sampler or witnessed byChotibhongs
Title of samplerMREA Telephone number of sampler(213)817-0387
Laboratory sample identification21-0716 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCollected at jobsite Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeSoil 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 collectedI-10 EB to CA-57 Connector. East side of Kellog Drive Bridge.
Where the material sample would have been placed if not sampled

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-03-04-29-1CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear GagesChad ChotibhongsCT D07 - Material Lab, Unit 195303/05/2021Chad Chotibhongs
No
Info
2021-03-04-29-2CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and AggregatesChad ChotibhongsCT D07 - Material Lab, Unit 195303/05/2021Chad Chotibhongs
No
Info