Sample Record

DIME Sample ID 2022-07-09-3

Project Information

Project IdentifiersProject ID: 993162
DEA: 07319104
EFIS: 0716000017
DIST-CO-RTE-PM07-LA-91-R11.8
Award Date02/10/2022
Closeout Date01/11/2024
Work DescriptionADJUST VERTICAL CLEARANCE WITH ROADWAY EXCAVATION AND PLACE JPCP.
Location DescriptionLOS ANGELES COUNTY IN LONG BEACH AT NORTHBOUND ROUTE 710 TO EASTBOUND ROUTE 91 CONNECTOR
QA Service Level1 (Verified on 11/30/2021)

Owner Lab

  • Kleinfelder, Incorporated - Los Angeles

Sample Information

Sample Taken Date07/09/2022 Sample Unique Key3
Date that the sample was received by the laboratory/organization performing the testing07/09/2022 Sample typeQuality Assurance
A brief description of the sampleA set of 2 LCB-RSC cylinders The quantity of what the sample constitutes165
From where was the sample collectedJob Site First name of sampler or witnessed byMarcus
Last name of sampler or witnessed byMolina Title of samplerField Materials Tester
Telephone number of sampler19095343477 Laboratory sample identification22-1716
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 numberCTS-30-RAM
The truck number from where the sample was collectedLoad 2 The batch plant ticket number from where the sample was collected5692
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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