Sample Record

Owner Lab

  • Kleinfelder, Incorporated - Los Angeles

DIME Sample ID 2022-02-01-10

Project Information

Project IdentifiersProject ID: 214573
DEA: 073096U4
EFIS: 0719000091
DIST-CO-RTE-PM07-LA-210-R0.0/R9.7
Award Date04/03/2020
Closeout Date06/06/2024
Work DescriptionPLACE CONCRETE PAVEMENT, BARRIER, HMA, DRAINAGE, AND ELECTRICAL.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES FROM INTERSTATE 5 TO WHEATLAND AVENUE UNDERCROSSING
QA Service Level1 (Verified on 06/05/2020)

Sample Information

Sample Taken Date02/01/2022 Sample Unique Key10
Date that the sample was received by the laboratory/organization performing the testing02/02/2022 Sample typePer Request
A brief description of the sampleA set of 2 LCB RS cylinders The quantity of what the sample constitutes130 CY
From where was the sample collectedManufacturer First name of sampler or witnessed byMike
Last name of sampler or witnessed byDorsch Title of sampler
Telephone number of sampler9098335780 Laboratory sample identification22-0159
Linked DIME Sample ID The fabricator/manufacturer/facility nameSecurity Paving Burbank Batch Plant
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number57030SL
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected8921
Concrete batch plantVanguard at 57 Freeway The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedconcrete sample from wheel barrow Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

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