Sample Record
Owner Lab
- CT D12 - Huntington Beach Field Laboratory
DIME Sample ID 2024-04-26-39
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Project Information
| Project Identifiers | Project ID: 993136 DEA: 120Q3904 EFIS: 1217000003 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-55-4.7 |
| Award Date | 09/20/2021 |
| Closeout Date | Not set |
| Work Description | RECONSTRUCT REINFORCED STRUCTURAL CONCRETE BRIDGE AND BARRIER. |
| Location Description | ORANGE COUNTY IN COSTA MESA AT ROUTE 55/73 CONNECTOR |
| QA Service Level | 1 (Verified on 07/27/2021) |
Sample Information
| Sample Taken Date | 04/26/2024 | Sample Unique Key | 39 |
|---|---|---|---|
| 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 | 04/30/2024 |
| Sample type | Quality Assurance | A brief description of the sample | 4x8 concrete cylinders |
| The quantity of what the sample constitutes | 6 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | ACI | Last name of sampler or witnessed by | ACI |
| Title of sampler | Telephone number of sampler | 3236202764 | |
| Laboratory sample identification | 24-0151 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Robertson's | 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 | RRM18093 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 1 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Concrete from wheelbarrow | Where the material sample would have been placed if not sampled | Hinge Sta 109 15 to 112 42 |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||