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Sample Record for 2026-02-24-31

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Project Information

Project ID: 1000416 DEA: 120S1104 EFIS: 1219000091 QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-22-R0.9/R9.4
Work Description: REPLACE CONCRETE BARRIER AND MODIFY LIGHTING SYSTEM.
Location Description: ORANGE FROM BOLSA CHICA ROAD OVERCROSSING IN GARDEN GROVE TO LEWIS STREET OVERCROSSING IN ORANGE
Contractor Name: BEADOR CONSTRUCTION COMPANY, INC.
Contractor Address: 2900 Bristol Street Suite D204, Costa Mesa, CA 92626
Resident Engineer: Arezo Ghiam Structure Rep.: Maheshwarlal Kapoor

Sample Information

DIME Sample ID: 2026-02-24-31
TL Number from the TL Form:
Sample Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Sample Organization Contact: 9492798846
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 02/24/2026
Date that the sample was received by the laboratory/organization performing the testing: 02/25/2026
The quantity of what the sample constitutes: 6
A brief description of the sample: 4x8 concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 26-0022
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: National Irvine

Material Information

The concrete mix design number: A59C456T10
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 129661
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Discharge from concrete truck into wheelbarrow.
Where the material sample would have been placed if not sampled: Median Barrier 60 MA Garden Grove Bridge 417+50~418+00
From Lot No.:
Bag Lot No.:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2026-02-24-31-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 03/03/2026
Date Tested: 03/03/2026
Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Organization Address: 19601 Beach Boulevard,
Organization City: Huntington Beach
Organization State: CA
Organization Zipcode: 92648
Organization Email: frank.mai@dot.ca.gov
Organization Phone: (949) 279-8846
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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