Sample Record

Owner Lab

  • Ninyo & Moore

DIME Sample ID 2022-10-04-62

Project Information

Project IdentifiersProject ID: 213749
DEA: 120C1104
EFIS: 1200000633
DIST-CO-RTE-PM12-ORA-57-20.3/21.6
Award Date04/19/2019
Closeout Date05/28/2024
Work DescriptionSR-57 Lambert Interchange Project: WIDEN BRIDGES AND CONSTRUCT RW, SW, HMA, JPCP AND ELECTRICAL SYSTEMS.
Location DescriptionORANGE COUNTY IN BREA FROM 0.6 MILE SOUTH TO 0.7 MILE NORTH OF LAMBERT ROAD UNDERCROSSING
QA Service Level1 (Verified on 05/31/2019)

Sample Information

Sample Taken Date10/04/2022 Sample Unique Key62
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 testing10/05/2022
Sample typeQuality Assurance A brief description of the sampleConcrete Beams
The quantity of what the sample constitutes70CY From where was the sample collectedJob Site
First name of sampler or witnessed byWilkins Last name of sampler or witnessed byCobian
Title of samplerField Materials Tester Telephone number of sampler9494569707
Laboratory sample identification157675 Linked DIME Sample ID2022-10-04-1
The fabricator/manufacturer/facility nameSecurity Paving Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberG3-19-PCC-001
The truck number from where the sample was collected5 The batch plant ticket number from where the sample was collected204913
Concrete batch plantSecurity Paving The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedBack of truck, Load 1 Where the material sample would have been placed if not sampledPAVEMENT SLAB
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-10-04-62-1ASTM C293-10: Standard Test Method for Flexural Strength of Concrete (Using Simple Beam With Center-Point Loading)James Dalgity, Ninyo & Moore11/01/2022Andy Rodriguez
No
Info

Sample File Attachments

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Test File Attachments


DIME Test ID: 2022-10-04-62-1 ASTM C293-10