Sample Record

DIME Sample ID 2022-09-12-15

Project Information

Project IdentifiersProject ID: 212720
DEA: 07291404
EFIS: 0712000094
DIST-CO-RTE-PM07-LA-1-55-58
Award Date02/18/2021
Closeout Date04/23/2026
Work DescriptionTRANCAS CREEK BRIDGE REPLACEMENT
Location DescriptionIN LOS ANGELES IN CITY OF MALIBU AT TRANCAS CREEK BRIDGE (53-0027).
QA Service Level1 (Verified on 04/02/2021)

Owner Lab

  • Bethlehem Construction, Incorporated

Sample Information

Sample Taken Date09/12/2022 Sample Unique Key15
Date that the sample was received by the laboratory/organization performing the testing09/12/2022 Sample typeQuality Control
A brief description of the samplevoided slabs The quantity of what the sample constitutes22cy
From where was the sample collectedManufacturer First name of sampler or witnessed byAlejandro
Last name of sampler or witnessed byOrozco Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameBethlehem Constructionh
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 number222
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected2200
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedmiddle of truck 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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