Sample Record
Owner Lab
- CT D12 - Huntington Beach Field Laboratory
DIME Sample ID 2022-11-28-1
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214951 DEA: 120K0234 EFIS: 1214000100 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-5-17.1/18.9 |
| Award Date | 09/23/2020 |
| Closeout Date | Not set |
| Work Description | South County Improvement Project (Phase 3 - El Toro/Alicia) WIDEN FREEWAY AND BRIDGES, RECONSTRUCT BRIDGE AND WALLS. |
| Location Description | ORANGE COUNTY IN MISSION VIEJO, LAGUNA HILLS, LAGUNA WOODS AND LAKE FOREST FROM 0.4 MILE SOUTH OF ALICIA PARKWAY OVERCROSSING TO 0.2 MILE NORTH OF EL TORO ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 10/01/2020) |
Sample Information
| Sample Taken Date | 11/28/2022 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 testing | 11/28/2022 |
| Sample type | Quality Assurance | A brief description of the sample | 3/8" AGG, SAND |
| The quantity of what the sample constitutes | 9 CY | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Nguyen |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 22-1189 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Cemex Irvine | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | 1611681 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 11111 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | belt cut | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||