Sample Record
Owner Lab
- CT D12 - Huntington Beach Field Laboratory
DIME Sample ID 2024-07-20-3
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Project Information
| Project Identifiers | Project ID: 1000035 DEA: 120T9804 EFIS: 1223000011 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-22-R3.0 |
| Award Date | 03/13/2024 |
| Closeout Date | Not set |
| Work Description | REPAIR PAVEMENT AND UPGRADE GUARDRAIL. |
| Location Description | ORANGE COUNTY IN WESTMINSTER AT WESTBOUND OFF-RAMP TO GARDEN GROVE BOULEVARD/KNOTT STREET |
| QA Service Level | 1 (Verified on 01/26/2024) |
Sample Information
| Sample Taken Date | 07/20/2024 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 07/21/2024 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete beams |
| The quantity of what the sample constitutes | 3 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | RMA | Last name of sampler or witnessed by | RMA |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 24-0335 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Short Load | 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-65-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 | wheelbarrow | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| 24-0335 | 07/30/2024 | Info |
Test File Attachments
DIME Test ID: 2024-07-20-3-1 CTM 524-March 2013 (Verified)