Sample Record

Owner Lab

  • Kleinfelder, Incorporated - Los Angeles

DIME Sample ID 2022-04-20-29

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 Date04/20/2022 Sample Unique Key29
Date that the sample was received by the laboratory/organization performing the testing04/20/2022 Sample typeQuality Assurance
A brief description of the sampleA set of 4 JPCP concrete beam test specimens The quantity of what the sample constitutes1,300 CY
From where was the sample collectedJob Site First name of sampler or witnessed byAli
Last name of sampler or witnessed byRehman Title of samplerField Materials Tester
Telephone number of sampler7148753445 Laboratory sample identification22-0859
Linked DIME Sample ID The fabricator/manufacturer/facility nameFlatiron Plant - Paxton off-Ramp
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 numberJPCP-3215-06
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedLoad 102
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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