Sample Record
Owner Lab
- Kleinfelder, Incorporated - Los Angeles
DIME Sample ID 2022-06-12-3
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214493 DEA: 07311704 EFIS: 0715000013 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-134-0.0/R13.3 |
| Award Date | 04/16/2020 |
| Closeout Date | Not set |
| Work Description | CONCRETE SLAB REPLACEMENT, HMA PAVING, ELECTRICAL AND LANDSCAPE WORK. |
| Location Description | LOS ANGELES COUNTY IN LOS ANGELES, BURBANK, GLENDALE AND PASADENA FROM ROUTE 101/134 SEPARATION TO JUNCTION OF ROUTE 210/710 |
| QA Service Level | 1 (Verified on 04/15/2020) |
Sample Information
| Sample Taken Date | 06/12/2022 | Sample Unique Key | 3 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 06/12/2022 |
| Sample type | Quality Assurance | A brief description of the sample | A set of 3 ISR-RSC Beams |
| The quantity of what the sample constitutes | 200 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Marcus | Last name of sampler or witnessed by | Molina |
| Title of sampler | Field Materials Tester | Telephone number of sampler | 19095343477 |
| Laboratory sample identification | 22-1415 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Not Provided | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | 2010-007 |
|---|---|---|---|
| The truck number from where the sample was collected | 111 | The batch plant ticket number from where the sample was collected | Load 1 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Concrete from wheelbarrow | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-06-12-3-1 CTM 524-March 2013 (Verified)