Sample Record
Owner Lab
- CT D12 - Huntington Beach Field Laboratory
DIME Sample ID 2026-06-01-76
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Project Information
| Project Identifiers | Project ID: 1001404 DEA: 120S3804 EFIS: 1220000058 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-5-10.0/21.3 |
| Award Date | 10/20/2025 |
| Closeout Date | Not set |
| Work Description | SLAB REPLACEMENT (RSC), RHMA-PAVING, SIGNAL AND LIGHTING MODIFICATION. |
| Location Description | ORANGE COUNTY FROM EL HORNO STREET UNDERCROSSING IN SAN JUAN CAPISTRANO TO ROUTE 405/5 SEPARATION IN IRVINE |
| QA Service Level | 1 (Verified on 09/08/2025) |
Sample Information
| Sample Taken Date | 06/01/2026 | Sample Unique Key | 76 |
|---|---|---|---|
| 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 | 06/02/2026 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 3 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | MB Pro | Last name of sampler or witnessed by | MB Pro |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 26-0112 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Short Load Concrete | 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 | CTS-65-EHI |
|---|---|---|---|
| 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 | Discharge from concrete truck into wheelbarrow. | Where the material sample would have been placed if not sampled | NB 5 Crown Valley To 405/5 (HOV, Lane# 1 & 2) |
| 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: 2026-06-01-76-1 CTM 521-June 2020 (Verified)
| File Name | Extension | Date Uploaded | Test ID | Actions |
|---|---|---|---|---|
| 26-0112 | 06/11/2026 | 2026-06-01-76-1 | Info |