Sample Record
Owner Lab
- Kleinfelder, Incorporated - Los Angeles
DIME Sample ID 2022-08-29-36
Project Information
Project Identifiers | Project ID: 211260 DEA: 072159U4 EFIS: 0715000160 |
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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 | 08/29/2022 | Sample Unique Key | 36 |
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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 | 08/30/2022 |
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 | 570 CY | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Ali | Last name of sampler or witnessed by | Rehman |
Title of sampler | Field Materials Tester | Telephone number of sampler | 7148753445 |
Laboratory sample identification | 22-2283 | 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 |
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The truck number from where the sample was collected | NOT PROVIDED | 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. |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2022-08-29-36-1 CTM 524-March 2013 (Verified)