Sample Record
Owner Lab
- Sequoia Consultants
DIME Sample ID 2025-07-23-126
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214345 DEA: 120P94U4 EFIS: 1217000076 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-133-3.2/R4.1 |
| Award Date | 02/23/2021 |
| Closeout Date | Not set |
| Work Description | ROADWAY WIDENING, RESTRIPING AND DRAINAGE WORK. |
| Location Description | ORANGE COUNTY IN THE CITY OF LAGUNA BEACH FROM 0.2 MILE SOUTH OF EL TORO ROAD TO ROUTE 73/133 SEPARATION |
| QA Service Level | 1 (Verified on 12/10/2020) |
Sample Information
| Sample Taken Date | 07/23/2025 | Sample Unique Key | 126 |
|---|---|---|---|
| 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 | 07/23/2025 |
| Sample type | Quality Control | A brief description of the sample | CIP |
| The quantity of what the sample constitutes | 1 per batch | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Adrian | Last name of sampler or witnessed by | Mireles |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Cemex - Irvine | 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 | 1634523 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 51611997 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Check Dam Cutoff Wall (West-End). | Where the material sample would have been placed if not sampled | |
| 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: 2025-07-23-126-1 CTM 521-June 2020 (Verified)