Sample Record
Owner Lab
- Con-Fab California, LLC
DIME Sample ID 2021-09-01-16
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 214951 DEA: 120K0234 EFIS: 1214000100 |
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DIST-CO-RTE-PM | 12-ORA-5-17.1/18.9 |
Award Date | 09/23/2020 |
Closeout Date | Not set |
Work Description | South County Improvement Project (Phase 3 - El Toro/Alicia) WIDEN FREEWAY AND BRIDGES, RECONSTRUCT BRIDGE AND WALLS. |
Location Description | ORANGE COUNTY IN MISSION VIEJO, LAGUNA HILLS, LAGUNA WOODS AND LAKE FOREST FROM 0.4 MILE SOUTH OF ALICIA PARKWAY OVERCROSSING TO 0.2 MILE NORTH OF EL TORO ROAD UNDERCROSSING |
QA Service Level | 1 (Verified on 10/01/2020) |
Sample Information
Sample Taken Date | 09/01/2021 | Sample Unique Key | 16 |
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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 | 08/30/2021 |
Sample type | Quality Control | A brief description of the sample | Washed Fine Sand |
The quantity of what the sample constitutes | 492 | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Roberto | Last name of sampler or witnessed by | Reyes |
Title of sampler | QC Technician | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Con-Fab California LLC | 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) | SMARA 91 15 0041 |
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The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
The plant number | A detailed description of where the material sample was collected | silo | |
Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | fine | |
The concrete mix design number | Lot number | ||
Sublot number | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-09-01-16-1 ASTM D2419-14 (Verified)