Sample Record
DIME Sample ID 2025-04-08-40
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Project Information
| Project Identifiers | Project ID: 1000416 DEA: 120S1104 EFIS: 1219000091 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-22-R0.9/R9.4 |
| Award Date | 09/04/2024 |
| Closeout Date | Not set |
| 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 |
| QA Service Level | 1 (Verified on 08/05/2024) |
Owner Lab
- CT D12 - Huntington Beach Field Laboratory
Sample Information
| Sample Taken Date | 04/08/2025 | Sample Unique Key | 40 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 04/09/2025 | 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 | 25-0132 | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | National / Artesia | |
| 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 | S59C456T10 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 181763 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Dischard fron concrete truck into wheelbarrow. | Where the material sample would have been placed if not sampled | Barrier 60 M & Light Pedestal 59+00~64+50 |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
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