Sample Record
Owner Lab
- CT D12 - Huntington Beach Field Laboratory
DIME Sample ID 2024-05-10-56
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Project Information
| Project Identifiers | Project ID: 995182 DEA: 120S1504 EFIS: 1219000099 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-241-33.6/38.7 |
| Award Date | 12/15/2023 |
| Closeout Date | 06/18/2025 |
| Work Description | RESTORE AND UPGRADE JUMP-OUT-RAMPS, AND UPGRADE GUARD RAIL SYSTEMS. |
| Location Description | ORANGE COUNTY IN ANAHEIM AT VARIOUS LOCATIONS FROM 1.2 MILE NORTH OF SANTIAGO CANYON ROAD TO 0.3 MILE SOUTH OF N241-E91 CONNECTOR OVERCROSSING |
| QA Service Level | 1 (Verified on 10/16/2023) |
Sample Information
| Sample Taken Date | 05/10/2024 | Sample Unique Key | 56 |
|---|---|---|---|
| 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 | 05/11/2024 |
| Sample type | Quality Assurance | A brief description of the sample | 4x8 concrete cylinders |
| The quantity of what the sample constitutes | 3 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Amir | Last name of sampler or witnessed by | Behjati |
| Title of sampler | Structure Rep | Telephone number of sampler | 9493864788 |
| Laboratory sample identification | 24-0212 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Cemex | 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 | 1614705 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 31194322 | |
| 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 | RTE 241 FM 91 to SANTIAGO Cny |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-05-10-56-1 CTM 521-June 2020 (Verified)
| File Name | Extension | Date Uploaded | Test ID | Actions |
|---|---|---|---|---|
| 24-0212 | 06/11/2024 | 2024-05-10-56-1 | Info |