Sample Record

DIME Sample ID 2022-05-22-8

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 Date05/22/2022 Sample Unique Key8
Date that the sample was received by the laboratory/organization performing the testing05/22/2022 Sample typeQuality Assurance
A brief description of the sampleA set of 3 JPCP RSC beams The quantity of what the sample constitutes200 CY
From where was the sample collectedJob Site First name of sampler or witnessed byAleksey
Last name of sampler or witnessed bySouglobov Title of samplerField Materials Tester
Telephone number of sampler17075835090 Laboratory sample identification22-1227
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 number2010-007
The truck number from where the sample was collected114 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
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Sample File Attachments

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Test File Attachments