Sample Record
Owner Lab
- SCST, LLC
DIME Sample ID 2020-03-16-6
Project Information
Project Identifiers | Project ID: 214355 DEA: 120K0214 EFIS: 1214000096 |
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DIST-CO-RTE-PM | 12-ORA-5-12.4/14.5 |
Award Date | 12/20/2019 |
Closeout Date | Not set |
Work Description | South County Improvement Project (Phase 1 - Avery/Crown Valley) PLACE HMA, INSTALL CONC PAVEMENT, RETAIN WALL, MODIFY ELECT SYS. | Add one lane btwn 73 & Oso PKWY |
Location Description | ORANGE COUNTY IN SAN JUAN CAPISTRANO, LAGUNA HILLS, LAGUNA NIGUEL AND MISSION VIEJO FROM 0.5 MILE SOUTH OF AVERY PARKWAY UNDERCROSSING TO 0.8 MILE NORTH OF CROWN VALLEY PARKWAY OVERCROSSING |
QA Service Level | 1 (Verified on 10/31/2019) |
Sample Information
Sample Taken Date | 03/16/2020 | Sample Unique Key | 6 |
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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 | 03/16/2020 |
Sample type | Aggregate Prequalification Program | A brief description of the sample | 1" aggregate |
The quantity of what the sample constitutes | Annual Source Testing | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Albert | Last name of sampler or witnessed by | Segura |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 52442 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Cemex Lytle Creek | Transportation Laboratory (TL) Number | |
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) | 91-36-0040::LYTLE CREEK |
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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 | Stockpile |
Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 1 inch |
The concrete mix design number | Unknown | Lot number | Unknown |
Sublot number | Unknown | Aggregate Mix Number | Not set |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |