Sample Record
Owner Lab
- CT D12 - Huntington Beach Field Laboratory
DIME Sample ID 2023-09-12-44
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 995099 DEA: 120T3904 EFIS: 1222000044 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-55,405-8.4/9.2 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Not set |
| Location Description | FOR CONSTRUCTION ON STATE HIGHWAY IN ORANGE COUNTY IN THE CITIES OF SANTA ANA AND COSTA MESA ON ROUTE 55 FROM BAKER STREET UNDERCROSSING TO MACARTHUR BOULEVARD UNDERCROSSING AND ON ROUTE 405 FROM RED HILL OVERCROSSING TO BRISTOL STREET OVERCROSSING |
| QA Service Level | 1 (Verified on 09/07/2023) |
Sample Information
| Sample Taken Date | 09/12/2023 | Sample Unique Key | 44 |
|---|---|---|---|
| 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 | 09/13/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 3/8" & SAND |
| The quantity of what the sample constitutes | 30 CU.YDS | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | JIMMY CUONG | Last name of sampler or witnessed by | PHAM |
| Title of sampler | Lab Technician | Telephone number of sampler | 9492798487 |
| Laboratory sample identification | 23-0938 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | ROBERTSONS-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 | RRM16044 |
|---|---|---|---|
| The truck number from where the sample was collected | 85379A2 | The batch plant ticket number from where the sample was collected | 8110453 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | conveyor belt | 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. | ||||||||