Sample Record

Owner Lab

  • Kleinfelder, Incorporated - Los Angeles

DIME Sample ID 2022-04-21-13

Project Information

Project IdentifiersProject ID: 214573
DEA: 073096U4
EFIS: 0719000091
DIST-CO-RTE-PM07-LA-210-R0.0/R9.7
Award Date04/03/2020
Closeout Date06/06/2024
Work DescriptionPLACE CONCRETE PAVEMENT, BARRIER, HMA, DRAINAGE, AND ELECTRICAL.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES FROM INTERSTATE 5 TO WHEATLAND AVENUE UNDERCROSSING
QA Service Level1 (Verified on 06/05/2020)

Sample Information

Sample Taken Date04/21/2022 Sample Unique Key13
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 testing04/22/2022
Sample typeQuality Assurance A brief description of the sampleA set of 4 JPCP concrete beam test specimens
The quantity of what the sample constitutes1300 CY From where was the sample collectedJob Site
First name of sampler or witnessed byManuel Last name of sampler or witnessed byUy
Title of samplerField Materials Tester Telephone number of sampler9495016042
Laboratory sample identification22-0891 Linked DIME Sample ID
The fabricator/manufacturer/facility nameFlatiron Plant - Paxton off-Ramp Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberJPCP-3215-06
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedLoad 29
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 TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-04-21-13-1CTM 523-May 2020: Method of Test for Flexural Strength of ConcreteEdmond Jabbour, Kleinfelder, Incorporated - Los Angeles05/20/2022Jeff Diaz
Yes
05/23/2022

Sample File Attachments

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Test File Attachments


DIME Test ID: 2022-04-21-13-1 CTM 523-May 2020 (Verified)