Sample Record

Owner Lab

  • CT D12 - Huntington Beach Field Laboratory

DIME Sample ID 2022-10-27-44

Project Information

Project IdentifiersProject ID: 993446
DEA: 120J34U4
EFIS: 1218000034
DIST-CO-RTE-PM12-ORA-55,55-29.6,R6.4/10.3
Award Date05/27/2022
Closeout DateNot set
Work DescriptionCONSTR BRIDGES, RW, SW, JPCP, HMA PVMT, DRAINAGE AND ELECT SYSTEMS.
Location DescriptionORANGE COUNTY IN IRVINE, SANTA ANA, AND TUSTIN ON ROUTE 5 AT NEWPORT AVENUE UNDERCROSSING AND ON ROUTE 55 FROM 0.4 MILE NORTH OF ROUTE 55/405 SEPARATION TO 0.1 MILE SOUTH OF ROUTE 5/55 SEPARATION
QA Service Level1 (Verified on 06/24/2022)

Sample Information

Sample Taken Date10/27/2022 Sample Unique Key44
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 testing10/27/2022
Sample typeQuality Assurance A brief description of the sample1 bucket of 1", 3/8" and Sand
The quantity of what the sample constitutes300 CY From where was the sample collectedManufacturer
First name of sampler or witnessed bySAM Last name of sampler or witnessed byJAM
Title of sampler Telephone number of sampler
Laboratory sample identification22-1084 Linked DIME Sample ID
The fabricator/manufacturer/facility nameNational Readymix 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 TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-19-0052 UNITED ROCK CORPORATION OLIVE PIT MINE
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 collectedConveyor Belt
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 Number

Submitted Tests

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