Sample Record
Owner Lab
- CT D12 - Huntington Beach Field Laboratory
DIME Sample ID 2022-09-29-22
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 993511 DEA: 120R2004 EFIS: 1218000065 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-5-0.0/2.0 |
| Award Date | 04/14/2022 |
| Closeout Date | Not set |
| Work Description | PLACE PRECAST CONCRETE PAVEMENT AND REPLACE CONCRETE SLAB. |
| Location Description | ORANGE COUNTY IN SAN CLEMENTE FROM ORANGE COUNTY LINE TO 0.4 MILE NORTH OF EL CAMINO REAL UNDERCROSSING |
| QA Service Level | 1 (Verified on 01/24/2022) |
Sample Information
| Sample Taken Date | 09/29/2022 | Sample Unique Key | 22 |
|---|---|---|---|
| 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 | 09/29/2022 |
| Sample type | Acceptance | A brief description of the sample | RSC Flexural Beams |
| The quantity of what the sample constitutes | 3 concrete beams+1 extra | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | RMA QC | Last name of sampler or witnessed by | RMA QC |
| Title of sampler | TET | Telephone number of sampler | 9492794998 |
| Laboratory sample identification | 22-0368 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | GL THROOP | 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 | 2010-007 |
|---|---|---|---|
| The truck number from where the sample was collected | 112 | The batch plant ticket number from where the sample was collected | 1 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | JPCP-RS beams poured at SB EL Camino Real Onramp at Mainline SB I-5 | 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 |
|---|---|---|---|
| 22-0368 | 10/05/2022 | Info |
Test File Attachments
DIME Test ID: 2022-09-29-22-1 CTM 524-March 2013 (Verified)