Sample Record

Owner Lab

  • CT D07 - Material Lab, Unit 1953

DIME Sample ID 2021-10-08-32

Project Information

Project IdentifiersProject ID: 214523
DEA: 07302504
EFIS: 0713000479
DIST-CO-RTE-PM07-VEN-23-R3.3/R11.5
Award Date02/06/2020
Closeout DateNot set
Work DescriptionPLACE HMA AND JPCP AND INDIVIDUAL SLAB REPLACEMENT.
Location DescriptionVENTURA COUNTY FROM ROUTE 101/23 SEPARATION TO NEW LOS ANGELES AVENUE UNDERCROSSING
QA Service Level1 (Verified on 03/17/2020)

Sample Information

Sample Taken Date10/08/2021 Sample Unique Key32
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 testing10/08/2021
Sample typeAcceptance A brief description of the sampleSoil for Subgrade.
The quantity of what the sample constitutes1 Bucket From where was the sample collectedJob Site
First name of sampler or witnessed byNelson Last name of sampler or witnessed byAlvarado
Title of samplerTECivil Telephone number of sampler818-262-8855
Laboratory sample identification21-2571 Linked DIME Sample ID21-10-8-31-2
The fabricator/manufacturer/facility namesecurity paving 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 sampleSubgrade
The fabricator/manufacturer designation for the sample A detailed description of where the material sample was collectedFrom various locations at subgrade.
Where the material sample would have been placed if not sampled

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-10-08-32-1CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and AggregatesNelson AlvaradoCT D07 - Material Lab, Unit 195310/08/2021Nelson Alvarado
No
Info