Sample Record

Owner Lab

  • Kleinfelder, Incorporated - Los Angeles

DIME Sample ID 2022-08-25-56

Project Information

Project IdentifiersProject ID: 214336
DEA: 07302404
EFIS: 0713000488
DIST-CO-RTE-PM07-VEN-101-37/40
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 Date08/25/2022 Sample Unique Key56
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 testing08/25/2022
Sample typeQuality Assurance A brief description of the sampleA set of 2 LCB cylinders
The quantity of what the sample constitutes500 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 sampler9492016042
Laboratory sample identification22-2269 Linked DIME Sample ID
The fabricator/manufacturer/facility nameNot Provided 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-LRS-271R
The truck number from where the sample was collectedLoad 7 The batch plant ticket number from where the sample was collected8504
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 NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-08-25-56-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersMichael MaganaKleinfelder, Incorporated - Los Angeles09/01/2022Jeff Diaz
Yes
09/01/2022

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-08-25-56-1 CTM 521-June 2020 (Verified)