DIME - Sample Record for DIME Sample ID 2022-05-22-12

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Sample Record

DIME Sample ID 2022-05-22-12

Project Information

Project Identifiers	Project ID: 214671 DEA: 07303904 EFIS: 0714000044
DIST-CO-RTE-PM	07-LA-10-31.2/37.2
Award Date	11/25/2020
Closeout Date	10/11/2023
Work Description	LANE REPLACEMENT
Location Description	LOS 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 Level	1 (Verified on 01/21/2021)

Owner Lab

CT D07 - Materials Field Laboratory, Unit 1953

Sample Information

Sample Taken Date	05/22/2022	Sample Unique Key	12
Date that the sample was received by the laboratory/organization performing the testing	05/22/2022	Sample type	Department Acceptance
A brief description of the sample	JPCPRS	The quantity of what the sample constitutes	800 CY
From where was the sample collected	Other	First name of sampler or witnessed by	LR
Last name of sampler or witnessed by	Collier	Title of sampler	TET
Telephone number of sampler	14242327257	Laboratory sample identification
Linked DIME Sample ID		The fabricator/manufacturer/facility name	Security Paving batch plant
Transportation Laboratory (TL) Number		Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier		Structure name	WB 10 Lane 3 Between Azusa and Vincent
Bid Item	Not set

Material Information

Material Type	Rapid Set	Manufacturer	Security Paving
Mix no.	G3-21-PRS-237	Materials Received	na
Lot no.	123	Batch Number	3

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Date Added	Verified?	Release Date	Test Comments	Privacy Level	Actions
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