Sample Record
DIME Sample ID 2024-09-20-70
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Project Information
| Project Identifiers | Project ID: 993635 DEA: 120R7504 EFIS: 1219000030 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-5-R33.7/R35.4 |
| Award Date | 08/15/2023 |
| Closeout Date | 06/22/2026 |
| Work Description | PLACE HMA, JPCP, INSTALL SIGN STRUCTURE, AND ELECTRICAL SYSTEMS. |
| Location Description | IN THE COUNTY OF ORANGE, IN THE CITIES OF ORANGE AND SANTA ANA, ON SB I-5 BETWEEN THE EB RTE 22/SB I-5 CONN AND NORTH OF STATE COLLEGE BLVD. UC |
| QA Service Level | 1 (Verified on 03/28/2022) |
Owner Lab
- CT D12 - Huntington Beach Field Laboratory
Sample Information
| Sample Taken Date | 09/20/2024 | Sample Unique Key | 70 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 09/24/2024 | Sample type | Quality Assurance |
| A brief description of the sample | 4x8 concrete cylinders | The quantity of what the sample constitutes | 6 |
| From where was the sample collected | Job Site | First name of sampler or witnessed by | Mahesh |
| Last name of sampler or witnessed by | Kapoor | Title of sampler | |
| Telephone number of sampler | Laboratory sample identification | 24-0391 | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Associated / Fountain Valley | |
| Transportation Laboratory (TL) Number | Inspector Lot Number from the Transportation Laboratory (TL) Form | ||
| Structure unique identifier | Structure name | ||
| Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 57247WH |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 7213104 | |
| 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 | CIDH Pile 1136+70 |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
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