Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2014-10-05-1

Project Information

Project IdentifiersProject ID: 7428
DEA: 07215944
EFIS: 0700001834
DIST-CO-RTE-PM07-LA-5-4.0/5.9
Award Date08/23/2012
Closeout DateNot set
Work DescriptionRECONSTRUCT AND WIDEN FREEWAY AND UNDERCROSSING STRUCTURES.
Location DescriptionLOS ANGELES COUNTY IN NORWALK FROM 0.4 MILE SOUTH OF SAN ANTONIO DRIVE UNDERCROSSING TO 0.7 MILE NORTH OF PIONEER BOULEVARD UNDERCROSSING
QA Service Level1 (Verified on 11/07/2012)

Sample Information

Sample Taken Date10/05/2014 Sample Unique Key1
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 testing10/07/2014
Sample typeAcceptance A brief description of the sampleSoil for Structure Backfill
The quantity of what the sample constitutesUnknown From where was the sample collectedSource
First name of sampler or witnessed byMian Last name of sampler or witnessed byAli
Title of samplerAssistant RE Telephone number of samplerUnknown
Laboratory sample identification4281B Linked DIME Sample ID0
The fabricator/manufacturer/facility name3rd St off from 710 Northbound Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSoil The fabricator's/manufacturer's product name for the sampleUnknown
The fabricator/manufacturer designation for the sampleUnknown A detailed description of where the material sample was collected3rd St off from 710 Northbound
Where the material sample would have been placed if not sampledUnknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2014-10-05-1-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesDanilo FerrerCT - Southern Regional Laboratory10/08/2014Danilo Ferrer
Yes
02/20/2015
2014-10-05-1-2CTM 217-June 2011: Method of Test for Sand EquivalentDanilo FerrerCT - Southern Regional Laboratory10/08/2014Danilo Ferrer
Yes
02/20/2015