Sample Record
Owner Lab
- CT D12 - Huntington Beach Field Laboratory
DIME Sample ID 2023-01-12-54
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 994438 DEA: 120U1604 EFIS: 1223000043 |
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DIST-CO-RTE-PM | 12-ORA-1-12.07 |
Award Date | 10/03/2022 |
Closeout Date | 07/28/2023 |
Work Description | CONSTRUCT SOLDIER PILE WALL AND PRE-CAST CONCRETE LAGGING, CEMENT SLURRY BACKFILL |
Location Description | Culvert Failure and Shoulder Lost on SR-1 (PCH) in City of Laguna Beach. |
QA Service Level | 1 (Verified on 12/15/2022) |
Sample Information
Sample Taken Date | 01/12/2023 | Sample Unique Key | 54 |
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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 | 01/13/2023 |
Sample type | Quality Assurance | A brief description of the sample | 4x8 concrete cylinders |
The quantity of what the sample constitutes | 8 | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Kenny | Last name of sampler or witnessed by | Do |
Title of sampler | Telephone number of sampler | 9498727223 | |
Laboratory sample identification | 23-0001 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Robertson's / 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 | RRM20012 |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 1 | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | Concrete from wheelbarrow | Where the material sample would have been placed if not sampled | Batch Plant Trial Batch |
From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2023-01-12-54-1 CTM 521-June 2020 (Verified)
File Name | Extension | Date Uploaded | Test ID | Actions |
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23-0001 | 02/10/2023 | 2023-01-12-54-1 | Info |
DIME Test ID: 2023-01-12-54-2 CTM 521-June 2020 (Verified)
DIME Test ID: 2023-01-12-54-3 CTM 521-June 2020 (Verified)
DIME Test ID: 2023-01-12-54-4 CTM 521-June 2020 (Verified)