Sample Record

Owner Lab

  • CT D12 - Huntington Beach Field Laboratory

DIME Sample ID 2022-11-05-6

Project Information

Project IdentifiersProject ID: 993154
DEA: 120R3404
EFIS: 1218000079
DIST-CO-RTE-PM12-ORA-73-12.9/R26.8
Award Date09/16/2021
Closeout DateNot set
Work DescriptionREPLACE APPROACH SLABS, JOINT SEAL, AND APPLY METHACRYLATE ON BRIDGES.
Location DescriptionORANGE COUNTY AT VARIOUS LOCATIONS FROM MOULTON PARKWAY UNDERCROSSING IN LAGUNA NIGUEL TO BRISTOL STREET UNDERCROSSING IN COSTA MESA
QA Service Level1 (Verified on 08/02/2021)

Sample Information

Sample Taken Date11/05/2022 Sample Unique Key6
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 testing11/05/2022
Sample typeQuality Assurance A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes6 concrete cylinders From where was the sample collectedJob Site
First name of sampler or witnessed byDavid Last name of sampler or witnessed bySaretsky
Title of sampler Telephone number of sampler
Laboratory sample identification22-0413 Linked DIME Sample ID
The fabricator/manufacturer/facility nameShortload Mobile Mixers 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 numberCTS-72-EHI
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 sampledApproach Slab Loc 7
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-11-05-6-1THIS TEST HAS BEEN SUPERSEDED.
CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Dan MorrisCT D12 - Huntington Beach Field Laboratory11/01/2022Sam Jamyari
Yes
11/14/2022THIS TEST HAS BEEN SUPERSEDED.
2022-11-05-6-2CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersDan MorrisCT D12 - Huntington Beach Field Laboratory11/08/2022Sam Jamyari
Yes
11/14/2022Complies

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2022-11-05-6-1 CTM 521-June 2020 (Verified)
File NameExtensionDate UploadedTest IDActions
22-0413pdf11/14/20222022-11-05-6-1   Info

DIME Test ID: 2022-11-05-6-2 CTM 521-June 2020 (Verified)