Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2024-03-25-44
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 210624 DEA: 120N1404 EFIS: 1213000125 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-57-20.7/21.2 |
| Award Date | 09/08/2015 |
| Closeout Date | 11/29/2016 |
| Work Description | SHOULDER WIDENING, MODIFY CURBS, GUTTER, AND DRAINAGE |
| Location Description | ORANGE COUNTY, IN BREA, FROM LAMBERT ROAD SOUTHBOUND ON RAMP TO 0.2 MILE NORTH OF LAMBERT ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 11/17/2015) |
Sample Information
| Sample Taken Date | 03/25/2024 | Sample Unique Key | 44 |
|---|---|---|---|
| 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 | 03/25/2024 |
| Sample type | Quality Assurance | A brief description of the sample | PCC |
| The quantity of what the sample constitutes | 50 CY | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Bassily |
| Title of sampler | Telephone number of sampler | 3236270083 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Robertson's Pomona | Transportation Laboratory (TL) Number | Long Beach |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-33-0061 |
|---|---|---|---|
| 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 collected | Conveyor Belt | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/8 inch | |
| The concrete mix design number | SC675B38 | Lot number | |
| Sublot number | Aggregate Mix Number |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||