Sample Record
Owner Lab
- CT D12 - Huntington Beach Field Laboratory
DIME Sample ID 2024-08-18-18
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 1000037 DEA: 120U2404 EFIS: 1223000058 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-91-R9.8/R18.9 |
| Award Date | 03/12/2024 |
| Closeout Date | Not set |
| Work Description | REPLACE CONCRETE SLABS, EXISTING LOOP DETECTORS AND TRAFFIC STRIPING. |
| Location Description | ORANGE COUNTY IN ANAHEIM AND YORBA LINDA FROM 0.3 MILE WEST OF LAKEVIEW AVENUE OVERCROSSING TO RIVERSIDE COUNTY LINE |
| QA Service Level | 1 (Verified on 01/26/2024) |
Sample Information
| Sample Taken Date | 08/18/2024 | Sample Unique Key | 18 |
|---|---|---|---|
| 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 | 08/19/2024 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 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 | Elias | Last name of sampler or witnessed by | Sanchez |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 24-0367 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Short Load Concrete | 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 | Concrete from wheelbarrow | Where the material sample would have been placed if not sampled | Rt. 91 97+00~577+87 P.M. R9.8~R18.9 |
| 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: 2024-08-18-18-1 CTM 521-June 2020 (Verified)
| File Name | Extension | Date Uploaded | Test ID | Actions |
|---|---|---|---|---|
| 24-0367 | 08/28/2024 | 2024-08-18-18-1 | Info |