Sample Record

DIME Sample ID 2022-04-30-22

Project Information

Project IdentifiersProject ID: 214671
DEA: 07303904
EFIS: 0714000044
DIST-CO-RTE-PM07-LA-10-31.2/37.2
Award Date11/25/2020
Closeout Date10/11/2023
Work DescriptionLANE REPLACEMENT
Location DescriptionLOS 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 Level1 (Verified on 01/21/2021)

Owner Lab

  • Kleinfelder, Incorporated - Los Angeles

Sample Information

Sample Taken Date04/30/2022 Sample Unique Key22
Date that the sample was received by the laboratory/organization performing the testing04/30/2022 Sample typeQuality Assurance
A brief description of the sampleA set of 2 LCB RS cylinders The quantity of what the sample constitutes520 CY.
From where was the sample collectedJob Site First name of sampler or witnessed byDominic
Last name of sampler or witnessed byMontemayor Title of samplerField Materials Tester
Telephone number of sampler19517643140 Laboratory sample identification22-0962
Linked DIME Sample ID The fabricator/manufacturer/facility nameNot Provided
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 numberG3-22-LRS-271
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedLoad 2
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

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments