Sample Record

DIME Sample ID 2024-11-20-4

Project Information

Project IdentifiersProject ID: 993446
DEA: 120J34U4
EFIS: 1218000034
DIST-CO-RTE-PM12-ORA-55,55-29.6,R6.4/10.3
Award Date05/27/2022
Closeout DateNot set
Work DescriptionCONSTR BRIDGES, RW, SW, JPCP, HMA PVMT, DRAINAGE AND ELECT SYSTEMS.
Location DescriptionORANGE COUNTY IN IRVINE, SANTA ANA, AND TUSTIN ON ROUTE 5 AT NEWPORT AVENUE UNDERCROSSING AND ON ROUTE 55 FROM 0.4 MILE NORTH OF ROUTE 55/405 SEPARATION TO 0.1 MILE SOUTH OF ROUTE 5/55 SEPARATION
QA Service Level1 (Verified on 06/24/2022)

Owner Lab

  • CT D12 - Huntington Beach Field Laboratory

Sample Information

Sample Taken Date11/20/2024 Sample Unique Key4
Date that the sample was received by the laboratory/organization performing the testing11/20/2024 Sample typeQuality Assurance
A brief description of the sampleconcrete The quantity of what the sample constitutes40cy
From where was the sample collectedManufacturer First name of sampler or witnessed byJohnny Cuong
Last name of sampler or witnessed byDo Title of sampler
Telephone number of sampler7143066148 Laboratory sample identification24-01074
Linked DIME Sample ID The fabricator/manufacturer/facility nameNATIONAL READY MIXED CONCRETE
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberS855C440T19
The truck number from where the sample was collected1 The batch plant ticket number from where the sample was collected077926
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedAt the plant Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

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