Sample Record
Owner Lab
- Precon Products - Simi Valley
DIME Sample ID 2025-07-28-58
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000403 DEA: 120K91U4 EFIS: 1222000031 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-91-R9.2/R11.4 |
| Award Date | 01/03/2025 |
| Closeout Date | Not set |
| Work Description | CONST BRIDGES, RW, SW, PAVEMENT, DRAINAGE AND ELECTRICAL SYSTEMS. |
| Location Description | ORANGE COUNTY IN ANAHEIM FROM 0.9 MILE WEST TO 1.3 MILES EAST OF LAKEVIEW AVENUE OVERCROSSING |
| QA Service Level | 1 (Verified on 08/19/2024) |
Sample Information
| Sample Taken Date | 07/28/2025 | Sample Unique Key | 58 |
|---|---|---|---|
| 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 | 07/28/2025 |
| Sample type | Quality Control | A brief description of the sample | Concrete for G1 & G2's |
| The quantity of what the sample constitutes | 10 yards | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Maximus | Last name of sampler or witnessed by | Guillen |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Precon Products | 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 | Precast Concrete | The concrete mix design number | SE-10125 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 304039 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | At form in production area | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||