Sample Record

Owner Lab

  • Bethlehem Construction, Incorporated

DIME Sample ID 2022-08-01-57

Project Information

Project IdentifiersProject ID: 212720
DEA: 07291404
EFIS: 0712000094
DIST-CO-RTE-PM07-LA-1-55-58
Award Date02/18/2021
Closeout DateNot set
Work DescriptionTRANCAS CREEK BRIDGE REPLACEMENT
Location DescriptionIN LOS ANGELES IN CITY OF MALIBU AT TRANCAS CREEK BRIDGE (53-0027).
QA Service Level1 (Verified on 04/02/2021)

Sample Information

Sample Taken Date08/01/2022 Sample Unique Key57
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 testing08/01/2022
Sample typeQuality Control A brief description of the sampleVoided Slab
The quantity of what the sample constitutes24CY From where was the sample collectedManufacturer
First name of sampler or witnessed byAlejandro Last name of sampler or witnessed byMoreno
Title of samplerQuality Technician Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameBethlehem Construction 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 numberSCC-ASH-32_3
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected0009639
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedMIDDLE OF THE LOAD 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
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Sample File Attachments

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Test File Attachments