Sample Record

DIME Sample ID 2024-04-08-24

Project Information

Project IdentifiersProject ID: 994147
DEA: 120R4104
EFIS: 1218000090
DIST-CO-RTE-PM12-ORA-1-17.4/21.5
Award Date09/27/2022
Closeout Date09/18/2025
Work DescriptionCOLD PLANE AC AND PLACE RHMA-G.
Location DescriptionORANGE COUNTY IN NEWPORT BEACH FROM JAMBOREE ROAD TO SANTA ANA RIVER BRIDGE
QA Service Level1 (Verified on 06/28/2023)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date04/08/2024 Sample Unique Key24
Date that the sample was received by the laboratory/organization performing the testing04/09/2024 Sample typeVerification
A brief description of the sample3/4" RWHMA-G-SP 0.25% Evo The quantity of what the sample constitutes4 Bags Combined, 1 Bag CRM, 1 Bag High Nat
From where was the sample collectedSupplier First name of sampler or witnessed byRJ Noble QC
Last name of sampler or witnessed byOrange Title of sampler
Telephone number of sampler Laboratory sample identification0165G-24
Linked DIME Sample ID The fabricator/manufacturer/facility nameR.J. Noble - Orange
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-33-0027, 91-33-0014, 91-33-0027
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedBelt Cut at RJ Noble Orange Plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number49R003ARSPWEO Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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