Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2019-06-11-9

Project Information

Project IdentifiersProject ID: 213388
DEA: 120N3004
EFIS: 1213000194
DIST-CO-RTE-PM12-ORA-241-18.3/18.7
Award Date09/26/2018
Closeout Date12/09/2019
Work DescriptionRAMP REALIGNMENT, PAVING, AND RE-STRIPING.
Location DescriptionORANGE COUNTY IN RANCHO SANTA MARGARITA FROM 0.2 MILE SOUTH TO 0.2 MILE NORTH OF SANTA MARGARITA PARKWAY OVERCROSSING
QA Service Level1 (Verified on 04/16/2019)

Sample Information

Sample Taken Date06/11/2019 Sample Unique Key9
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 testing06/11/2019
Sample typePer Request A brief description of the sampleClass 2 AB
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byCuong Last name of sampler or witnessed byDo
Title of samplerUnknown Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCaltrans Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)Unknown
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedUnknown
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/4 inch
The concrete mix design numberUnknown Lot numberUnknown
Sublot numberUnknown HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.