Sample Record

Owner Lab

  • CT D07 - Material Lab, Unit 1953

DIME Sample ID 2021-11-01-15

Project Information

Project IdentifiersProject ID: 214573
DEA: 073096U4
EFIS: 0719000091
DIST-CO-RTE-PM07-LA-210-R0.0/R9.7
Award DateNot set
Closeout DateNot set
Work DescriptionPLACE CONCRETE PAVEMENT, BARRIER, HMA, DRAINAGE, AND ELECTRICAL.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES FROM INTERSTATE 5 TO WHEATLAND AVENUE UNDERCROSSING
QA Service Level1 (Verified on 06/05/2020)

Sample Information

Sample Taken Date11/01/2021 Sample Unique Key15
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 testing11/01/2021
Sample typeAcceptance A brief description of the sampleSoil
The quantity of what the sample constitutes1470 cy From where was the sample collectedJob Site
First name of sampler or witnessed byLou Ralph Last name of sampler or witnessed byAchuela
Title of samplerTET Telephone number of sampler213-817-0504
Laboratory sample identification21-2685 Linked DIME Sample ID
The fabricator/manufacturer/facility nameFlatiron 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 location at subgrade
Where the material sample would have been placed if not sampledlane 2 and lane 3

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.