Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2022-05-16-18
Project Information
Project Identifiers | Project ID: 215220 DEA: 07210624 EFIS: 0719000068 |
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DIST-CO-RTE-PM | 07-LA,SBD-71-1.8/R4.7&R0.0/R0.2 |
Award Date | 02/05/2021 |
Closeout Date | Not set |
Work Description | PLACE STRUCTURE CONCRETE RETAINING WALLS & BOX CULVERT AND PLACE JPCP. |
Location Description | IN LOS ANGELES AND SAN BERNARDINO COUNTIES IN POMONA AND CHINO HILLS FROM 0.2 MILE SOUTH OF MISSION BOULEVARD OVERCROSSING TO 0.2 MILE OF SAN BERNARDINO COUNTY LINE. |
QA Service Level | 1 (Verified on 03/24/2021) |
Sample Information
Sample Taken Date | 05/16/2022 | Sample Unique Key | 18 |
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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 | 05/16/2022 |
Sample type | Department Acceptance | A brief description of the sample | Structure Backfill |
The quantity of what the sample constitutes | 1140 SF | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Michelangelo | Last name of sampler or witnessed by | Sese |
Title of sampler | TET | Telephone number of sampler | 310-345-6204 |
Laboratory sample identification | 22-1178 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | NA | 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 |
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The fabricator/manufacturer designation for the sample | A detailed description of where the material sample was collected | Various locations | |
Where the material sample would have been placed if not sampled |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2022-05-16-18-1 CTM 231-March 2013 (Verified)
DIME Test ID: 2022-05-16-18-2 CTM 216-June 2011 (Verified)