Sample Record

Owner Lab

  • Structure Cast

DIME Sample ID 2021-03-31-13

Project Information

Project IdentifiersProject ID: 214938
DEA: 120M9904
EFIS: 1213000086
DIST-CO-RTE-PM12-ORA-1-9.4
Award Date06/11/2020
Closeout Date09/29/2021
Work DescriptionReplace Precast RCB Culvert & Sewer Pipe & Place HMA Pavement
Location DescriptionORANGE COUNTY IN LAGUNA BEACH AT BROADWAY STREET
QA Service Level1 (Verified on 07/17/2020)

Sample Information

Sample Taken Date03/31/2021 Sample Unique Key13
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing04/15/2021
Sample typeInformational A brief description of the sampleSCC Concrete
The quantity of what the sample constitutes9.5 CY From where was the sample collectedJob Site
First name of sampler or witnessed byBrian Last name of sampler or witnessed byFoley
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameStructureCast Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design number12-0M9904
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected3156
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedWheelbarrow Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-03-31-13-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensBrent DezemberStructure Cast04/15/2021Brent Dezember
Yes
04/15/2021