Sample Record

DIME Sample ID 2022-05-08-1

Project Information

Project IdentifiersProject ID: 214493
DEA: 07311704
EFIS: 0715000013
DIST-CO-RTE-PM07-LA-134-0.0/R13.3
Award Date04/16/2020
Closeout Date07/09/2024
Work DescriptionCONCRETE SLAB REPLACEMENT, HMA PAVING, ELECTRICAL AND LANDSCAPE WORK.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES, BURBANK, GLENDALE AND PASADENA FROM ROUTE 101/134 SEPARATION TO JUNCTION OF ROUTE 210/710
QA Service Level1 (Verified on 04/15/2020)

Owner Lab

  • Kleinfelder, Incorporated - Los Angeles

Sample Information

Sample Taken Date05/08/2022 Sample Unique Key1
Date that the sample was received by the laboratory/organization performing the testing05/08/2022 Sample typeQuality Assurance
A brief description of the sampleA set of 3 ISR-RSC Beams The quantity of what the sample constitutes200 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 identification22-1038
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 numberNOT PROVIDED
The truck number from where the sample was collectedLoad 2 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

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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Test File Attachments