Sample Record

DIME Sample ID 2022-10-27-27

Project Information

Project IdentifiersProject ID: 993510
DEA: 120P9204
EFIS: 1216000044
DIST-CO-RTE-PM12-ORA-5-38.5/41.6
Award Date04/21/2022
Closeout Date04/23/2025
Work DescriptionPLANTING, IRRIGATION, ROCK BLANKET, MINOR CONCRETE AND AC PAVING.
Location DescriptionORANGE COUNTY IN ANAHEIM FROM SANTA ANA STREET OVERCROSSING TO 0.5 MILE NORTH OF LA PALMA AVENUE OVERCROSSING
QA Service Level1 (Verified on 01/24/2022)

Owner Lab

  • CT D12 - Huntington Beach Field Laboratory

Sample Information

Sample Taken Date10/27/2022 Sample Unique Key27
Date that the sample was received by the laboratory/organization performing the testing10/27/2022 Sample typeQuality Assurance
A brief description of the sampleRock blanket @ the end of the brookhurst off ramp from I5 NB The quantity of what the sample constitutes10CY
From where was the sample collectedManufacturer First name of sampler or witnessed byJIMMY CUONG
Last name of sampler or witnessed byPHAM Title of sampler
Telephone number of sampler Laboratory sample identification22-1090
Linked DIME Sample ID The fabricator/manufacturer/facility nameRobertson Ready Mix
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 numberRRM16044
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected101C7340884
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedRock blanket @ the end of the brookhurst off ramp from I5 NB Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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Sample File Attachments

File NameExtensionDate UploadedActions
22-1090pdf11/01/2022   Info

Test File Attachments