Sample Record
DIME Sample ID 2024-06-11-65
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Project Information
| Project Identifiers | Project ID: 995535 DEA: 120T8704 EFIS: 1222000110 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-5,57-30.3/39.6,10.7/21.8 |
| Award Date | 03/01/2024 |
| Closeout Date | 06/23/2025 |
| Work Description | APPLY METHACRYLATE, POLYESTER CONCRETE, AND REPLACE JOINT SEALS. |
| Location Description | ORANGE COUNTY AT VARIOUS LOCATIONS ON ROUTE 5 FROM ROUTE 5/55 SEPARATION TO EUCLID STREET OVERCROSSING AND ON ROUTE 57 FROM ROUTE 5/57 SEPARATION TO TONNER CANYON ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 01/26/2024) |
Owner Lab
- CT D12 - Huntington Beach Field Laboratory
Sample Information
| Sample Taken Date | 06/11/2024 | Sample Unique Key | 65 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 06/11/2024 | Sample type | Quality Assurance |
| A brief description of the sample | 6x12 concrete cylinders | The quantity of what the sample constitutes | 5 |
| From where was the sample collected | Job Site | First name of sampler or witnessed by | Johnny |
| Last name of sampler or witnessed by | Do | Title of sampler | |
| Telephone number of sampler | 7143066148 | Laboratory sample identification | 24-0263 |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Unknown | |
| 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 | CTS-72-EHI |
|---|---|---|---|
| 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 | South 5 & south 57 West 22 Connector Ramp |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
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