Sample Record
Owner Lab
- Kleinfelder, Incorporated - Los Angeles
DIME Sample ID 2022-04-15-25
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 211260 DEA: 072159U4 EFIS: 0715000160 |
|---|---|
| DIST-CO-RTE-PM | 07-LA,ORA-5-0.0/1.5, 44.3/44.4 |
| Award Date | 05/27/2016 |
| Closeout Date | 08/01/2023 |
| Work Description | CONSTRUCT HOV LANES AND MIX FLOW LANES. |
| Location Description | LOS ANGELES AND ORANGE COUNTIES IN BUENA PARK, LA MIRADA, CERRITOS AND SANTA FE SPRINGS FROM ARTESIA BOULEVARD UNDERCROSSING TO NORTH FORK COYOTE CREEK |
| QA Service Level | 1 (Verified on 03/16/2016) |
Sample Information
| Sample Taken Date | 04/15/2022 | Sample Unique Key | 25 |
|---|---|---|---|
| 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 | 04/16/2022 |
| Sample type | Quality Assurance | A brief description of the sample | A set of 2 JPCP concrete beam test specimens |
| The quantity of what the sample constitutes | 1500 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Ian | Last name of sampler or witnessed by | Snyder |
| Title of sampler | Field Materials Tester | Telephone number of sampler | 15628339318 |
| Laboratory sample identification | 22-0822 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | SECURITY PAVING PORTABLE PLANT- LA MIRADA | 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 | G3-19-PCC-001 |
|---|---|---|---|
| The truck number from where the sample was collected | Load 37 | The batch plant ticket number from where the sample was collected | NOT PROVIDED |
| 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. |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-04-15-25-1 CTM 523-May 2020 (Verified)