Sample Record

Owner Lab

  • CT D12 - Huntington Beach Field Laboratory

DIME Sample ID 2022-10-11-55

Project Information

Project IdentifiersProject ID: 208973
DEA: 120H1004
EFIS: 1200000180
COOP: 120670
DIST-CO-RTE-PM12-ORA-405,73,405,605-9.3/24.3
Award Date11/07/2016
Closeout DateNot set
Work Description(Alternative Delivery) San Diego Freeway (I-405) Improvement Project SR-73 to I-605, Design Build Project, Administered by Orange County Transportation Authority, Caltrans METS to perform Source Inspection per RFP.
Location DescriptionOrange and Los Angeles Counties: 12-ORA-405 PM 9.3/24.2 / 07-LA-405 PM 0.0/1.2 12-ORA-22 PM R0.7/R3.8 / 12-ORA-22 PM R0.5/R0.7 12-ORA-73 PM R27.2/R27.8 / 12-ORA-605 PM 3.5/R1.6 07-LA-605 PM R0.0/R1.2
QA Service Level1 (Verified on 09/10/2015)

Sample Information

Sample Taken Date10/11/2022 Sample Unique Key55
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 testing10/12/2022
Sample typeQuality Assurance A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes2+1 cylinders From where was the sample collectedJob Site
First name of sampler or witnessed byBond Last name of sampler or witnessed byMekchai
Title of sampler Telephone number of sampler6265327705
Laboratory sample identification22-0392 Linked DIME Sample ID
The fabricator/manufacturer/facility nameRobertson - Anaheim 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 number5264125A
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 collectedMIX TRUCK Where the material sample would have been placed if not sampledMontecito Channel College Park and Loyla
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-10-11-55-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersDan MorrisCT D12 - Huntington Beach Field Laboratory11/08/2022Sam Jamyari
Yes
11/15/2022@ 28 Days required 4,000 psi = Failed

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-10-11-55-1 CTM 521-June 2020 (Verified)
File NameExtensionDate UploadedTest IDActions
22-0392pdf11/09/20222022-10-11-55-1   Info