Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2014-10-30-2
Project Information
Project Identifiers | Project ID: 209046 DEA: 120F96E4 EFIS: 1200020279 |
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DIST-CO-RTE-PM | 12-ORA-5,162-6.2/8.7 |
Award Date | 12/04/2013 |
Closeout Date | 01/09/2020 |
Work Description | CONSTRUCT HOV LANE. RECONSTRUCT RAMPS AND STRUCTURES WIDENING, |
Location Description | ORANGE COUNTY FROM 0.4 MILE NORTH OF CAMINO DE ESTRELLA OVERCROSSING TO 0.2 MILE SOUTH OF SAN JUAN CREEK ROAD UNDERCROSSING |
QA Service Level | 1 (Verified on 02/24/2014) |
Sample Information
Sample Taken Date | 10/30/2014 | Sample Unique Key | 2 |
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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 | 10/30/2014 |
Sample type | Acceptance | A brief description of the sample | soil |
The quantity of what the sample constitutes | 1 Bag | From where was the sample collected | Source |
First name of sampler or witnessed by | Parvin | Last name of sampler or witnessed by | Sebh |
Title of sampler | Unknown | Telephone number of sampler | Unknown |
Laboratory sample identification | 14Soil0348 C874540 | Linked DIME Sample ID | 0 |
The fabricator/manufacturer/facility name | Bent 5 | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
Structure name | Not set |
Material Information
Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 55-0226 |
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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 | 105 Elev |
Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | |
The concrete mix design number | Lot number | Not set | |
Sublot number | Not set | 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: 2014-10-30-2-1 CTM 202-November 2011 (Verified)