Sample Record

Owner Lab

  • Kleinfelder, Incorporated - Los Angeles

DIME Sample ID 2022-04-14-24

Project Information

Project IdentifiersProject ID: 211260
DEA: 072159U4
EFIS: 0715000160
DIST-CO-RTE-PM07-LA,ORA-5-0.0/1.5, 44.3/44.4
Award Date05/27/2016
Closeout Date08/01/2023
Work DescriptionCONSTRUCT HOV LANES AND MIX FLOW LANES.
Location DescriptionLOS ANGELES AND ORANGE COUNTIES IN BUENA PARK, LA MIRADA, CERRITOS AND SANTA FE SPRINGS FROM ARTESIA BOULEVARD UNDERCROSSING TO NORTH FORK COYOTE CREEK
QA Service Level1 (Verified on 03/16/2016)

Sample Information

Sample Taken Date04/14/2022 Sample Unique Key24
Date that the sample was received by the laboratory/organization performing the testing04/15/2022 Sample typeQuality Assurance
A brief description of the sampleA set of 2 JPCP concrete beam test specimens The quantity of what the sample constitutes1,500 CY
From where was the sample collectedJob Site First name of sampler or witnessed byIan
Last name of sampler or witnessed bySnyder Title of samplerField Materials Tester
Telephone number of sampler15628339318 Laboratory sample identification22-0814
Linked DIME Sample ID The fabricator/manufacturer/facility nameSECURITY PAVING PORTABLE PLANT- LA MIRADA
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 numberG3-19-PCC-001
The truck number from where the sample was collectedLoad 22 The batch plant ticket number from where the sample was collectedNOT PROVIDED
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedConcrete from wheelbarrow Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

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