Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2026-08-05-6
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994415 DEA: 120R3114 EFIS: 1220000021 |
|---|---|
| DIST-CO-RTE-PM | 12-LA,ORA-91-R20.6/R20.7,R0.0/4.8 |
| Award Date | 03/03/2025 |
| Closeout Date | Not set |
| Work Description | PLACE JPCP (RSC) AND RHMA, AND MODIFY ELECTRICAL SYSTEMS. |
| Location Description | LOS ANGELES AND ORANGE COUNTIES FROM 0.1 MILE WEST OF THE LOS ANGLES COUNTY LINE IN CERRITOS TO 0.1 MILE EAST OF ACACIA STREET UNDERCROSSING IN ANAHEIM |
| QA Service Level | 1 (Verified on 07/07/2023) |
Sample Information
| Sample Taken Date | 08/05/2026 | Sample Unique Key | 6 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | Not set |
| Sample type | Quality Assurance | A brief description of the sample | PCC |
| The quantity of what the sample constitutes | 116 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Danny | Last name of sampler or witnessed by | Chung |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 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 | 89 - STRUCTURAL CONCRETE, RETAINING WALL |
Material Information
| Material Type | Concrete | The concrete mix design number | 1614705 |
|---|---|---|---|
| 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 chute | 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. | |||