Sample Record

Owner Lab

  • Kleinfelder, Incorporated - Los Angeles

DIME Sample ID 2022-08-15-31

Project Information

Project IdentifiersProject ID: 214336
DEA: 07302404
EFIS: 0713000488
Award DateNot set
Closeout DateNot set
Work DescriptionPADRE JUAN REHAB
Location DescriptionVEN 101
QA Service Level1 (Verified on 02/26/2021)

Sample Information

Sample Taken Date08/15/2022 Sample Unique Key31
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 testing08/16/2022
Sample typeQuality Assurance A brief description of the sampleA set of 2 LCB cylinders
The quantity of what the sample constitutes1206 CY From where was the sample collectedJob Site
First name of sampler or witnessed byMarcus Last name of sampler or witnessed byMolina
Title of samplerField Materials Tester Telephone number of sampler19095343477
Laboratory sample identification22-2137 Linked DIME Sample ID
The fabricator/manufacturer/facility nameOn-site Batch Plant 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 numberG3-22-LRCYB-297R
The truck number from where the sample was collectedLoad 11 The batch plant ticket number from where the sample was collected7980
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
2022-08-15-31-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersMichael Magana, Kleinfelder, Incorporated - Los Angeles08/22/2022Jeff Diaz

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments

DIME Test ID: 2022-08-15-31-1 CTM 521-June 2020 (Verified)