Sample Record
Owner Lab
- CT D12 - Huntington Beach Field Laboratory
DIME Sample ID 2023-09-22-31
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Project Information
| Project Identifiers | Project ID: 214355 DEA: 120K0214 EFIS: 1214000096 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-5-12.4/14.5 |
| Award Date | 12/20/2019 |
| Closeout Date | 10/02/2025 |
| Work Description | South County Improvement Project (Phase 1 - Avery/Crown Valley) PLACE HMA, INSTALL CONC PAVEMENT, RETAIN WALL, MODIFY ELECT SYS. | Add one lane btwn 73 & Oso PKWY |
| Location Description | ORANGE COUNTY IN SAN JUAN CAPISTRANO, LAGUNA HILLS, LAGUNA NIGUEL AND MISSION VIEJO FROM 0.5 MILE SOUTH OF AVERY PARKWAY UNDERCROSSING TO 0.8 MILE NORTH OF CROWN VALLEY PARKWAY OVERCROSSING |
| QA Service Level | 1 (Verified on 10/31/2019) |
Sample Information
| Sample Taken Date | 09/22/2023 | Sample Unique Key | 31 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 09/25/2023 | Sample type | Quality Assurance |
| A brief description of the sample | 1", 3/8" & SAND | The quantity of what the sample constitutes | 378 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 | 23-0994 |
| 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 | ||
| Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 1605762 |
|---|---|---|---|
| The truck number from where the sample was collected | 10067288 | The batch plant ticket number from where the sample was collected | 30939023 |
| 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 | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||