Sample Record

DIME Sample ID 2019-05-08-10

Project Information

Project IdentifiersProject ID: 213750
DEA: 120K0224
EFIS: 1214000097
DIST-CO-RTE-PM12-ORA-5-14.5/17.1
Award Date03/05/2019
Closeout Date03/13/2025
Work DescriptionSouth County Improvement Project (Phase 2 - Oso/Alicia) CONST BRIDGES, RW, SW, HMA PVMT, JPCP, DRAINAGE, AND ELECT SYSTEMS.
Location DescriptionORANGE COUNTY IN MISSION VIEJO AND LAGUNA HILLS FROM 0.7 MILE SOUTH OF OSO PARKWAY OVERCROSSING TO 0.3 MILE SOUTH OF ALICIA PARKWAY OVERCROSSING
QA Service Level1 (Verified on 04/15/2019)

Owner Lab

  • CEMEX - Central & Southern California

Sample Information

Sample Taken Date05/08/2019 Sample Unique Key10
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeAnnual Source Testing
A brief description of the sample1 x 4 PCC Aggregate The quantity of what the sample constitutes1 of 4
From where was the sample collectedSource First name of sampler or witnessed byAlbert
Last name of sampler or witnessed bySegura Title of samplerQC Lead Technician
Telephone number of sampler(909) 436- 8680 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameCemex Lytle Creek
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-36-0040::LYTLE CREEK
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedPlant Stockpile
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

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