Sample Record

DIME Sample ID 2022-10-28-1

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

  • CT D12 - Huntington Beach Field Laboratory

Sample Information

Sample Taken Date10/28/2022 Sample Unique Key1
Date that the sample was received by the laboratory/organization performing the testing10/28/2022 Sample typeQuality Assurance
A brief description of the sampleCoarse PCC Aggregate The quantity of what the sample constitutes333 cu. Yds.
From where was the sample collectedManufacturer First name of sampler or witnessed byJohnny
Last name of sampler or witnessed byDo Title of sampler
Telephone number of sampler714-306-6148 Laboratory sample identification22-1092
Linked DIME Sample ID The fabricator/manufacturer/facility nameCemex Irvine
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number1614705
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected41980475
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedAt the Cemex Plant Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

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