Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2021-11-30-22
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214620 DEA: 07309304 EFIS: 0714000281 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-210,405,605-Various |
| Award Date | 03/18/2020 |
| Closeout Date | 07/26/2022 |
| Work Description | REINFORCE STRUCTURAL CONCRETE BRIDGE AND PLACE RHMA SHOULDER PAVING. |
| Location Description | LOS ANGELES COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 04/15/2020) |
Sample Information
| Sample Taken Date | 11/30/2021 | Sample Unique Key | 22 |
|---|---|---|---|
| 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 | 11/30/2021 |
| Sample type | Acceptance | A brief description of the sample | Arrow Highway column#1 |
| The quantity of what the sample constitutes | 40 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Sopheak | Last name of sampler or witnessed by | Chong |
| Title of sampler | TE | Telephone number of sampler | 12138170174 |
| Laboratory sample identification | 21-2857 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Beador | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 21-2857 | |
| Structure name | Arrow Highway column1 |
Material Information
| Material Type | Soil | The fabricator's/manufacturer's product name for the sample | Beador |
|---|---|---|---|
| The fabricator/manufacturer designation for the sample | Beador | A detailed description of where the material sample was collected | Jobsite - compacted base |
| Where the material sample would have been placed if not sampled | Stockpile |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||