Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2021-12-10-4
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214573 DEA: 073096U4 EFIS: 0719000091 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-210-R0.0/R9.7 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | PLACE CONCRETE PAVEMENT, BARRIER, HMA, DRAINAGE, AND ELECTRICAL. |
| Location Description | LOS ANGELES COUNTY IN LOS ANGELES FROM INTERSTATE 5 TO WHEATLAND AVENUE UNDERCROSSING |
| QA Service Level | 1 (Verified on 06/05/2020) |
Sample Information
| Sample Taken Date | 12/10/2021 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | 12/10/2021 |
| Sample type | Acceptance | A brief description of the sample | Soil for Structure Backfill |
| The quantity of what the sample constitutes | 3.0 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Jacinto | Last name of sampler or witnessed by | Villanueva |
| Title of sampler | TEC | Telephone number of sampler | 8182096574 |
| Laboratory sample identification | 21-2943 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Flatiron | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Soil | The fabricator's/manufacturer's product name for the sample | Structural Backfill |
|---|---|---|---|
| The fabricator/manufacturer designation for the sample | A detailed description of where the material sample was collected | from various location | |
| Where the material sample would have been placed if not sampled |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| 2021-12-10-4-1 | CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages | Jacinto Villanueva, CT D07 - Materials Field Laboratory, Unit 1953 | 12/10/2021 | Jacinto Villanueva | No | Info | ||
| 2021-12-10-4-2 | CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates | Jacinto Villanueva, CT D07 - Materials Field Laboratory, Unit 1953 | 12/10/2021 | Jacinto Villanueva | No | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-12-10-4-1 CTM 231-March 2013
DIME Test ID: 2021-12-10-4-2 CTM 216-June 2011