Sample Record
Owner Lab
- CT D12 - Huntington Beach Field Laboratory
DIME Sample ID 2023-02-08-17
Project Information
Project Identifiers | Project ID: 213750 DEA: 120K0224 EFIS: 1214000097 |
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DIST-CO-RTE-PM | 12-ORA-5-14.5/17.1 |
Award Date | 03/05/2019 |
Closeout Date | Not set |
Work Description | South County Improvement Project (Phase 2 - Oso/Alicia) CONST BRIDGES, RW, SW, HMA PVMT, JPCP, DRAINAGE, AND ELECT SYSTEMS. |
Location Description | ORANGE COUNTY IN MISSION VIEJO AND LAGUNA HILLS FROM 0.7 MILE SOUTH OF OSO PARKWAY OVERCROSSING TO 0.3 MILE SOUTH OF ALICIA PARKWAY OVERCROSSING |
QA Service Level | 1 (Verified on 04/15/2019) |
Sample Information
Sample Taken Date | 02/08/2023 | Sample Unique Key | 17 |
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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 | 02/08/2023 |
Sample type | Quality Assurance | A brief description of the sample | concrete |
The quantity of what the sample constitutes | 200 cy | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Johnny Cuong | Last name of sampler or witnessed by | Do |
Title of sampler | Telephone number of sampler | 7143066148 | |
Laboratory sample identification | 23-0096 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Cemex Irvine | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | 1419984 |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 41994340 | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | At the plant | Where the material sample would have been placed if not sampled | |
From Lot No. | Bag Lot No. |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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23-0096 | 02/09/2023 | Info |