Sample Record
Owner Lab
- CT D12 - Huntington Beach Field Laboratory
DIME Sample ID 2025-04-25-28
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Project Information
| Project Identifiers | Project ID: 1000213 DEA: 120S1904 EFIS: 1219000104 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-22-R11.6/R12.5 |
| Award Date | 06/06/2024 |
| Closeout Date | Not set |
| Work Description | AUXILIARY LANE EXTENSION. |
| Location Description | ORANGE COUNTY IN SANTA ANA AND ORANGE FROM 0.1 MILE WEST OF SANTIAGO CREEK TO 0.2 MILE EAST OF CAMBRIDGE STREET OVERCROSSING |
| QA Service Level | 1 (Verified on 05/28/2024) |
Sample Information
| Sample Taken Date | 04/25/2025 | Sample Unique Key | 28 |
|---|---|---|---|
| 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 | 04/28/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 4x8 concrete cylinders |
| The quantity of what the sample constitutes | 9 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Niloufar | Last name of sampler or witnessed by | Behboud |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 25-0142 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Cemex / Orange | 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 | 1610838 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | Unknown | |
| 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 | RW 595 Wall Stem 0+0~0+96 & 1+92~2+88 |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2025-04-25-28-1 CTM 521-June 2020 (Verified)
| File Name | Extension | Date Uploaded | Test ID | Actions |
|---|---|---|---|---|
| 25-0142 | 05/05/2025 | 2025-04-25-28-1 | Info |
DIME Test ID: 2025-04-25-28-2 CTM 521-June 2020 (Verified)
| File Name | Extension | Date Uploaded | Test ID | Actions |
|---|---|---|---|---|
| 25-0142-14D | 05/12/2025 | 2025-04-25-28-2 | Info |
DIME Test ID: 2025-04-25-28-3 CTM 521-June 2020 (Verified)
| File Name | Extension | Date Uploaded | Test ID | Actions |
|---|---|---|---|---|
| 25-0142-28D | 05/27/2025 | 2025-04-25-28-3 | Info |