Sample Record

Owner Lab

  • CT D07 - Material Lab, Unit 1953

DIME Sample ID 2021-12-10-4

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 Date12/10/2021 Sample Unique Key4
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 testing12/10/2021
Sample typeAcceptance A brief description of the sampleSoil for Structure Backfill
The quantity of what the sample constitutes3.0 CY From where was the sample collectedJob Site
First name of sampler or witnessed byJacinto Last name of sampler or witnessed byVillanueva
Title of samplerTEC Telephone number of sampler8182096574
Laboratory sample identification21-2943 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 sampleStructural Backfill
The fabricator/manufacturer designation for the sample A detailed description of where the material sample was collectedfrom various location
Where the material sample would have been placed if not sampled

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-12-10-4-1CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear GagesJacinto VillanuevaCT D07 - Material Lab, Unit 195312/10/2021Jacinto Villanueva
No
Info
2021-12-10-4-2CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and AggregatesJacinto VillanuevaCT D07 - Material Lab, Unit 195312/10/2021Jacinto Villanueva
No
Info