Sample Record
Owner Lab
- CT D12 - Huntington Beach Field Laboratory
DIME Sample ID 2024-03-05-11
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 34 DEA: 01262004 EFIS: 0100000005 |
|---|---|
| DIST-CO-RTE-PM | 01-MEN-101-43.5/49.0 |
| Award Date | 07/26/2012 |
| Closeout Date | 08/29/2017 |
| Work Description | CONSTRUCT 2 LANE HIGHWAY ON NEW ALIGNMENT. |
| Location Description | NEAR WILLITS FROM 0.8 KM S HEAHL OH TO 0.8 KM N OF REYNOLDS HIGHWAY (WILLITS BYPASS) |
| QA Service Level | 1 (Verified on 11/08/2012) |
Sample Information
| Sample Taken Date | 03/05/2024 | Sample Unique Key | 11 |
|---|---|---|---|
| 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 | 03/05/2024 |
| Sample type | Quality Assurance | A brief description of the sample | 1", 3/8" & SANDS |
| The quantity of what the sample constitutes | 100 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 | 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 | 1605760 |
|---|---|---|---|
| The truck number from where the sample was collected | 10067280 | The batch plant ticket number from where the sample was collected | 31119996 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | On the belt of the plant | 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. | |||||||||