Sample Record

Owner Lab

  • CT D12 - Huntington Beach Field Laboratory

DIME Sample ID 2022-09-21-66

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 993136
DEA: 120Q3904
EFIS: 1217000003
DIST-CO-RTE-PM12-ORA-55-4.7
Award Date09/20/2021
Closeout DateNot set
Work DescriptionRECONSTRUCT REINFORCED STRUCTURAL CONCRETE BRIDGE AND BARRIER.
Location DescriptionORANGE COUNTY IN COSTA MESA AT ROUTE 55/73 CONNECTOR
QA Service Level1 (Verified on 07/27/2021)

Sample Information

Sample Taken Date09/21/2022 Sample Unique Key66
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 testing09/22/2022
Sample typeQuality Assurance A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes8 Cylinders+2 From where was the sample collectedJob Site
First name of sampler or witnessed byHakima Last name of sampler or witnessed byHossainzadeh
Title of sampler Telephone number of sampler
Laboratory sample identification22-0369 Linked DIME Sample ID
The fabricator/manufacturer/facility nameplant 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 number1610887
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected1
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedfrom mix truck Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-09-21-66-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersDan Morris, CT D12 - Huntington Beach Field Laboratory09/28/2022Sam Jamyari
Yes
03/03/2023@7 days
2022-09-21-66-2CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersDan Morris, CT D12 - Huntington Beach Field Laboratory10/05/2022Sam Jamyari
Yes
03/03/2023@14 days
2022-09-21-66-3CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersDan Morris, CT D12 - Huntington Beach Field Laboratory10/19/2022Sam Jamyari
Yes
03/03/2023@28 days
2022-09-21-66-4CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersDan Morris, CT D12 - Huntington Beach Field Laboratory11/02/2022Sam Jamyari
Yes
03/03/2023@42 days

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2022-09-21-66-1 CTM 521-June 2020 (Verified)
File NameExtensionDate UploadedTest IDActions
22-0369pdf11/03/20222022-09-21-66-1   Info

DIME Test ID: 2022-09-21-66-2 CTM 521-June 2020 (Verified)
DIME Test ID: 2022-09-21-66-3 CTM 521-June 2020 (Verified)
DIME Test ID: 2022-09-21-66-4 CTM 521-June 2020 (Verified)