Sample Record
Owner Lab
- CT D12 - Huntington Beach Field Laboratory
DIME Sample ID 2023-06-13-25
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994759 DEA: 120T1004 EFIS: 1222000002 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-90,91-0.0-18.0 |
| Award Date | 03/06/2023 |
| Closeout Date | 01/03/2024 |
| Work Description | Treat bridge, overlay with polyester concrete and replace joint seal. |
| Location Description | ROUTE 90 AT ESPERANZA ROAD OVERHEAD AND ON ROUTE 91 FROM CARMENITA ROAD PEDESTRIAN OVERCROSSING TO COAL CANYON ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 04/28/2023) |
Sample Information
| Sample Taken Date | 06/13/2023 | Sample Unique Key | 25 |
|---|---|---|---|
| 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 | 06/13/2023 |
| Sample type | Quality Assurance | A brief description of the sample | polyester |
| The quantity of what the sample constitutes | 1 | 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 | 23-0188 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Collected at jobsite | 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 | Polyester | Mfg. Lot Number(s) | 1 |
|---|---|---|---|
| Batch number | 1 | Mix number | 1 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||