Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2015-11-19-13

Project Information

Project IdentifiersProject ID: 209680
DEA: 07295504
EFIS: 0713000014
DIST-CO-RTE-PM07-LA-101-1.8/8.4
Award Date09/15/2014
Closeout Date06/22/2017
Work DescriptionREPLACE PCC PAVEMENT AND COLD PLANE AND OVERLAY.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES FROM BEAUDRY AVENUE UNDERCROSSING TO 0.4 MILE NORTH OF PILGRIMAGE OVERCROSSING
QA Service Level1 (Verified on 08/01/2014)

Sample Information

Sample Taken Date11/19/2015 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 testing11/19/2015
Sample typeInformational A brief description of the sampleSubgrade soil base sample light yellowish brown silty sand and stone
The quantity of what the sample constitutes1 Bag From where was the sample collectedOther
First name of sampler or witnessed byUnknown Last name of sampler or witnessed byUnknown
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification5302B Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameNA Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown 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 collectedLane 3 SB 10 91 between 110 and Glendale Stockpile
Where the material sample would have been placed if not sampledUnknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2015-11-19-13-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesDanilo FerrerCT - Southern Regional Laboratory11/20/2015Charles Mcdonald
No
Info