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Sample Record for 2014-10-30-1

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 209046 DEA: 120F96E4 EFIS: 1200020279 QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-5,162-6.2/8.7
Work Description: CONSTRUCT HOV LANE. RECONSTRUCT RAMPS AND STRUCTURES WIDENING,
Location Description: ORANGE COUNTY FROM 0.4 MILE NORTH OF CAMINO DE ESTRELLA OVERCROSSING TO 0.2 MILE SOUTH OF SAN JUAN CREEK ROAD UNDERCROSSING
Contractor Name: Shimmick Construction
Contractor Address: 16481 SCIENTIFIC WAY, Irvine, CA 92648
Resident Engineer: Irvin Nguyen Structure Rep.: Sebti, Parvin

Sample Information

DIME Sample ID: 2014-10-30-1
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Sample Organization Contact: (916) 227-7204
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 10/30/2014
Date that the sample was received by the laboratory/organization performing the testing: 10/30/2014
The quantity of what the sample constitutes: Unknown
A brief description of the sample: Soil
From where was the sample collected: Source
Laboratory sample identification: 14Soil-0348 C874540
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Bent5

Material Information

Source Identification (SMARA or name of Pit): 55-0226
The fabricator's/manufacturer's product name for the sample: Unknown
The fabricator/manufacturer designation for the sample: Unknown
The plant number: Unknown
A detailed description of where the material sample was collected: 105 Elev
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size:
The concrete mix design number:
Lot number:
Sublot number:

Test Results

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.