Sample Record

DIME Sample ID 2022-12-22-5

Project Information

Project IdentifiersProject ID: 214951
DEA: 120K0234
EFIS: 1214000100
DIST-CO-RTE-PM12-ORA-5-17.1/18.9
Award Date09/23/2020
Closeout Date02/09/2026
Work DescriptionSouth County Improvement Project (Phase 3 - El Toro/Alicia) WIDEN FREEWAY AND BRIDGES, RECONSTRUCT BRIDGE AND WALLS.
Location DescriptionORANGE 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 Level1 (Verified on 10/01/2020)

Owner Lab

  • CT D12 - Huntington Beach Field Laboratory

Sample Information

Sample Taken Date12/22/2022 Sample Unique Key5
Date that the sample was received by the laboratory/organization performing the testing12/22/2022 Sample typeQuality Assurance
A brief description of the sample1", 3/8" ROCK & SAND The quantity of what the sample constitutes200 CU.YDS
From where was the sample collectedManufacturer First name of sampler or witnessed byJIMMY CUONG
Last name of sampler or witnessed byPHAM Title of samplerLab Technician
Telephone number of sampler9492798487 Laboratory sample identification22-1240
Linked DIME Sample ID The fabricator/manufacturer/facility nameHOLLIDAY ROCK-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 number3F36L005
The truck number from where the sample was collected389 The batch plant ticket number from where the sample was collectedR108171386
Concrete batch plant The fabricator/manufacturer designation for the sampleLOAD 1
A detailed description of where the material sample was collectedStockpile 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
22-1240jpg12/22/2022   Info
22-1240pdf12/22/2022   Info

Test File Attachments