Sample Record

Owner Lab

  • CT D07 - Materials Field Laboratory, Unit 1953

DIME Sample ID 2022-01-04-13

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214573
DEA: 073096U4
EFIS: 0719000091
DIST-CO-RTE-PM07-LA-210-R0.0/R9.7
Award Date04/03/2020
Closeout Date06/06/2024
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 Date01/04/2022 Sample Unique Key13
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 testing01/04/2022
Sample typeDepartment Acceptance A brief description of the sampleSoils for structural backfill
The quantity of what the sample constitutes22.0 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 identification22-0017 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 at structural backfill
Where the material sample would have been placed if not sampled

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-01-04-13-1CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear GagesJacinto Villanueva, CT D07 - Materials Field Laboratory, Unit 195301/04/2022Jacinto Villanueva
Yes
01/12/2022Departure Slab with dimension of 24 feet X 12 Feet. Original request was for approach slab but was not ready. Inspector changed to the departure slav\b.
2022-01-04-13-2CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and AggregatesJacinto Villanueva, CT D07 - Materials Field Laboratory, Unit 195301/04/2022Jacinto Villanueva
Yes
01/12/2022Departure slab with dimension of 24 feet X 12 feet. Original request was for approach slab but was not ready. Inspector changed to departure slab.

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-01-04-13-1 CTM 231-March 2013 (Verified)
DIME Test ID: 2022-01-04-13-2 CTM 216-June 2011 (Verified)