Sample Record
DIME Sample ID 2022-09-25-1
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Project Information
| Project Identifiers | Project ID: 993626 DEA: 070W0804 EFIS: 0721000034 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-405-28.0/31.6 |
| Award Date | 05/09/2022 |
| Closeout Date | 07/03/2023 |
| Work Description | INDIVIDUAL SLAB REPLACEMENTS. |
| Location Description | LOS ANGELES COUNTY IN CULVER CITY AND LOS ANGELES FROM VENICE BOULEVARD SEPARATION TO WILSHIRE BOULEVARD UNDERCROSSING |
| QA Service Level | 1 (Verified on 05/11/2022) |
Owner Lab
- Kleinfelder, Incorporated - Los Angeles
Sample Information
| Sample Taken Date | 09/25/2022 | Sample Unique Key | 1 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 09/25/2022 | Sample type | Quality Assurance |
| A brief description of the sample | A set of 3 ISR-RSC Beams | The quantity of what the sample constitutes | 100 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 | 22-2454 |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Short Load Concrete Inc | |
| Transportation Laboratory (TL) Number | Inspector Lot Number from the Transportation Laboratory (TL) Form | ||
| Structure unique identifier | Structure name | ||
| Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | G3-220 |
|---|---|---|---|
| The truck number from where the sample was collected | Load 1 | 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
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||