Sample Record
Owner Lab
- CT D12 - Huntington Beach Field Laboratory
DIME Sample ID 2022-10-18-28
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Project Information
| Project Identifiers | Project ID: 993510 DEA: 120P9204 EFIS: 1216000044 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-5-38.5/41.6 |
| Award Date | 04/21/2022 |
| Closeout Date | Not set |
| Work Description | PLANTING, IRRIGATION, ROCK BLANKET, MINOR CONCRETE AND AC PAVING. |
| Location Description | ORANGE COUNTY IN ANAHEIM FROM SANTA ANA STREET OVERCROSSING TO 0.5 MILE NORTH OF LA PALMA AVENUE OVERCROSSING |
| QA Service Level | 1 (Verified on 01/24/2022) |
Sample Information
| Sample Taken Date | 10/18/2022 | Sample Unique Key | 28 |
|---|---|---|---|
| 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 | 10/18/2022 |
| Sample type | Quality Assurance | A brief description of the sample | Fine Aggregates |
| The quantity of what the sample constitutes | 2 bags | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | David/Vincent | Last name of sampler or witnessed by | Nguyen/Tran |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | 22-1056 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Robertsons Ready Mix - Paramount | 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) | 91-33-0061 |
|---|---|---|---|
| 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 | Conveyor Belt | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1/2 inch | |
| The concrete mix design number | RRM16044 | Lot number | |
| Sublot number | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| 22-1056 | 10/19/2022 | Info |
Test File Attachments
DIME Test ID: 2022-10-18-28-1 CTM 217-June 2011 (Verified)
DIME Test ID: 2022-10-18-28-2 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-10-18-28-3 CTM 226-July 2010 (Verified)