DIME - Sample Record for DIME Sample ID 2022-02-12-4

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Sample Record

DIME Sample ID 2022-02-12-4

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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	02/12/2022	Sample Unique Key	4
Date that the sample was received by the laboratory/organization performing the testing	02/12/2022	Sample type	Quality Assurance
A brief description of the sample	A set of 2 LCB RS cylinders	The quantity of what the sample constitutes	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	22-0294
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	G3-22-LRS-271
The truck number from where the sample was collected	Load 14	The batch plant ticket number from where the sample was collected	184085
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	Concrete from wheelbarrow	Where the material sample would have been placed if not sampled
From Lot No.		Bag Lot No.

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Date Added	Verified?	Release Date	Test Comments	Privacy Level	Actions
2022-02-12-4-1	CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders	Marcus Molina, Kleinfelder, Incorporated - Los Angeles	02/19/2022		Yes	02/20/2022	EB 10 Fwy Lane No.3, Sampled @ STA: 1799+50.	Public - Test Data Visible

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2022-02-12-4-1 CTM 521-June 2020 (Verified)