Sample Record
Owner Lab
- Kleinfelder, Incorporated - Los Angeles
DIME Sample ID 2021-10-18-41
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Project Information
| Project Identifiers | Project ID: 214524 DEA: 07304504 EFIS: 0714000067 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-57-R0.0/R4.5 |
| Award Date | 06/11/2020 |
| Closeout Date | Not set |
| Work Description | CONCRETE PAVEMENT, CONCRETE BARRIER, AND ELECTRICAL WORK. |
| Location Description | LOS ANGELES COUNTY IN DIAMOND BAR AND CITY OF INDUSTRY FROM ORANGE COUNTY LINE TO ROUTE 57/60 SEPARATION |
| QA Service Level | 1 (Verified on 08/12/2020) |
Sample Information
| Sample Taken Date | 10/18/2021 | Sample Unique Key | 41 |
|---|---|---|---|
| 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 | 10/19/2021 |
| Sample type | Per Request | A brief description of the sample | A set of 2 PCC concrete beam test specimens |
| The quantity of what the sample constitutes | Per 1000 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Ali | Last name of sampler or witnessed by | Rehman |
| Title of sampler | Field Materials Tester | Telephone number of sampler | (714) 875-3445 |
| Laboratory sample identification | 212636-07304504-111521 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Vanguard at the 57 Freeway | 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 | crcp 570 |
|---|---|---|---|
| The truck number from where the sample was collected | 0 | The batch plant ticket number from where the sample was collected | 3 |
| Concrete batch plant | Vanguard at 57 Freeway | The fabricator/manufacturer designation for the sample | Batch |
| A detailed description of where the material sample was collected | concrete sample from wheelbarrow | Where the material sample would have been placed if not sampled | NB 57 mainline |
| From Lot No. | Bag Lot No. |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-10-18-41-1 CTM 523-May 2020 (Verified)