Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000571 DEA: 07354704 EFIS: 0718000355
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-710-22.0,22.2
Work Description: CLEAN AND PAINT BRIDGE.
Location Description: LOS ANGELES COUNTY IN COMMERCE AND VERNON AT HOBART YARD OVERHEAD AND AT ATLANTIC BOULEVARD AND BANDINI BOULEVARD ON-RAMP
Contractor Name: CERTIFIED COATINGS COMPANY
Contractor Address: Unknown
Resident Engineer: Martin Oregel Structure Rep.: Daniel Alvira
DIME Sample ID: 2026-01-29-47
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Chemistry Laboratory
Sample Organization Contact: (916) 227-7912
Type of Sample: Quality Assurance
Type of Material: Paint
Sample Taken Date: 01/29/2026
Date that the sample was received by the laboratory/organization performing the testing: 02/03/2026
The quantity of what the sample constitutes: 1 QT CAN
A brief description of the sample: D7 South, Kleinfelder MFG 1/29/2026, color 14223
From where was the sample collected: Manufacturer
Laboratory sample identification: C260132
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Stiles Paint
Batch Number: 559126
Color: LT GREEN
Batch size: 250 GALLONS
Date of Manufacturing: 0000-00-00
Paint Specification: PWB 171
Paint Specification Version: C
