Sample Record
Owner Lab
- CT D12 - Huntington Beach Field Laboratory
DIME Sample ID 2022-11-10-36
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Project Information
| Project Identifiers | Project ID: 208973 DEA: 120H1004 EFIS: 1200000180 COOP: 120670 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-405,73,405,605-9.3/24.3 |
| Award Date | 11/07/2016 |
| Closeout Date | Not 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 Description | Orange 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 Level | 1 (Verified on 09/10/2015) |
Sample Information
| Sample Taken Date | 11/10/2022 | Sample Unique Key | 36 |
|---|---|---|---|
| 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 | 11/10/2022 |
| Sample type | Quality Assurance | A brief description of the sample | 1/2x4 coarse aggregate |
| The quantity of what the sample constitutes | 2 bags | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Vincent / David | Last name of sampler or witnessed by | Tran / Nguyen |
| Title of sampler | Transportation Engineer Technician | Telephone number of sampler | 949-473-4006 / 949-279-8470 |
| Laboratory sample identification | 22-1151 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Associated Fountain Valley | 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) | Orca Quarry Port McNeill BC Canada) |
|---|---|---|---|
| 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 | Stockpile at the Plant | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1/2 inch | |
| The concrete mix design number | OR576SCP-8 | Lot number | |
| Sublot number | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| 22-1151 | 11/18/2022 | Info |
Test File Attachments
DIME Test ID: 2022-11-10-36-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-11-10-36-2 CTM 217-June 2011 (Verified)
DIME Test ID: 2022-11-10-36-3 CTM 227-December 2014 (Verified)
DIME Test ID: 2022-11-10-36-4 CTM 226-July 2010 (Verified)
DIME Test ID: 2022-11-10-36-5 CTM 202-November 2011 (Verified)