Sample Record
DIME Sample ID 2022-01-29-6
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Project Information
| Project Identifiers | Project ID: 214671 DEA: 07303904 EFIS: 0714000044 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-10-31.2/37.2 |
| Award Date | 11/25/2020 |
| Closeout Date | 10/11/2023 |
| Work Description | LANE REPLACEMENT |
| Location Description | LOS ANGELES COUNTY IN BALDWIN PARK AND WEST COVINA FROM 0.1 MILE EAST OF THE 10/605 SEPARATION TO 0.3 MILE WEST OF CITRUS STREET OVERCROSSING |
| QA Service Level | 1 (Verified on 01/21/2021) |
Owner Lab
- Kleinfelder, Incorporated - Los Angeles
Sample Information
| Sample Taken Date | 01/29/2022 | Sample Unique Key | 6 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 01/29/2022 | Sample type | Per Request |
| A brief description of the sample | A set of 2 LCB RS cylinders | The quantity of what the sample constitutes | Per 500 CY |
| From where was the sample collected | Job Site | First name of sampler or witnessed by | Marcus |
| Last name of sampler or witnessed by | Molina | Title of sampler | Field Materials Tester |
| Telephone number of sampler | 9095343477 | Laboratory sample identification | 22-0131 |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Security Paving Burbank Batch Plant | |
| Transportation Laboratory (TL) Number | Inspector Lot Number from the Transportation Laboratory (TL) Form | ||
| Structure unique identifier | Structure name | ||
| Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | G322LRS271 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 183502 | |
| Concrete batch plant | Security Paving Burbank Batch Plant | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | See Below Notes | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-01-29-6-1 CTM 521-June 2020 (Verified)