Sample Record
Owner Lab
- CT D12 - Huntington Beach Field Laboratory
DIME Sample ID 2023-05-12-82
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Project Information
| Project Identifiers | Project ID: 6585 DEA: 120H0014 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-39-9.1 |
| Award Date | 08/16/2006 |
| Closeout Date | 07/28/2010 |
| Work Description | MODIFY SIGNAL AND EXTEND LEFT TURN |
| Location Description | IN ORANGE COUNTY IN HUNTINGTONBEACH AND WESTMINSTER AT EDINGERAVENUE |
| QA Service Level | 1 (Verified on 07/28/2010) |
Sample Information
| Sample Taken Date | 05/12/2023 | Sample Unique Key | 82 |
|---|---|---|---|
| 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 | 05/13/2023 |
| Sample type | Quality Assurance | A brief description of the sample | concerete beams |
| The quantity of what the sample constitutes | 3 beams | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Johnny Cuong | Last name of sampler or witnessed by | Do |
| Title of sampler | Telephone number of sampler | 7143066148 | |
| Laboratory sample identification | 23-0160 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Robertsons-Anaheim | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | LB060008 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 000 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | AT THE JOB SITE | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-05-12-82-1 CTM 523-May 2020 (Verified)
| File Name | Extension | Date Uploaded | Test ID | Actions |
|---|---|---|---|---|
| 23-0160 | 06/10/2023 | 2023-05-12-82-1 | Info |