Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2022-05-20-17
Project Information
Project Identifiers | Project ID: 215221 DEA: 07332604 EFIS: 0716000287 |
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DIST-CO-RTE-PM | 07-LA-10-R12.4/14.9 |
Award Date | 12/16/2020 |
Closeout Date | 11/25/2024 |
Work Description | REMOVE RAISED ISLAND, CONSTRUCT CONCRETE BARRIER AND INSTALL LIGHTING. |
Location Description | THE COUNTY AND CITY OF LOS ANGELES FROM 0.1 MILE EAST OF ARLINGTON AVENUE OVERCROSSING TO 0.7 MILE EAST OF ROUTE 10/110 SEPARATION |
QA Service Level | 1 (Verified on 03/19/2021) |
Sample Information
Sample Taken Date | 05/20/2022 | Sample Unique Key | 17 |
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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 | 05/21/2022 |
Sample type | Department Acceptance | A brief description of the sample | Subgrade |
The quantity of what the sample constitutes | 1924 sq. yd. | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Philip | Last name of sampler or witnessed by | Maquiran |
Title of sampler | MREA | Telephone number of sampler | 2133581518 |
Laboratory sample identification | 22-1234 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Chumo Construction Inc. | 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 | Subgrade |
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The fabricator/manufacturer designation for the sample | A detailed description of where the material sample was collected | From various locations at subgrade | |
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: 2022-05-20-17-1 CTM 231-March 2013 (Verified)
DIME Test ID: 2022-05-20-17-2 CTM 216-June 2011 (Verified)