Sample Record
Owner Lab
- Pro-Cast Products, Incorporated - Highland
DIME Sample ID 2021-02-24-20
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214397 DEA: 120N3204 EFIS: 1213000196 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-91-R9.8/R18.9 |
| Award Date | 11/07/2019 |
| Closeout Date | 07/01/2022 |
| Work Description | CONST PRECAST SLAB REPLACEMENT, COLD PLANE AC PVMT AND PLACE RHMA. |
| 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 12/02/2019) |
Sample Information
| Sample Taken Date | 02/24/2021 | Sample Unique Key | 20 |
|---|---|---|---|
| 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 | 02/25/2021 |
| Sample type | Quality Control | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 8 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Robert | Last name of sampler or witnessed by | Lopez |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | ProCast Products | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | RRM14062 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | TT | |
| 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 | |
| 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: 2021-02-24-20-1 ASTM C1064-17 (Verified)
DIME Test ID: 2021-02-24-20-2 ASTM C143-15a (Verified)
DIME Test ID: 2021-02-24-20-3 ASTM C39-18 (Verified)