Sample Record

Owner Lab

  • CT D12 - Huntington Beach Field Laboratory

DIME Sample ID 2023-02-10-61

Project Information

Project IdentifiersProject ID: 994438
DEA: 120U1604
EFIS: 1223000043
DIST-CO-RTE-PM12-ORA-1-12.07
Award Date10/03/2022
Closeout Date07/28/2023
Work DescriptionCONSTRUCT SOLDIER PILE WALL AND PRE-CAST CONCRETE LAGGING, CEMENT SLURRY BACKFILL
Location DescriptionCulvert Failure and Shoulder Lost on SR-1 (PCH) in City of Laguna Beach.
QA Service Level1 (Verified on 12/15/2022)

Sample Information

Sample Taken Date02/10/2023 Sample Unique Key61
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 testing02/10/2023
Sample typeQuality Assurance A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes2 From where was the sample collectedJob Site
First name of sampler or witnessed byJUSTIN Last name of sampler or witnessed byMOY
Title of sampler Telephone number of sampler
Laboratory sample identification23-0075 Linked DIME Sample ID
The fabricator/manufacturer/facility nameRobertson's Irvine 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 numberRRM20012
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 collectedConcrete Cover Cap Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-02-10-61-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersDan Morris, CT D12 - Huntington Beach Field Laboratory03/10/2023Sam Jamyari
Yes
03/13/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-02-10-61-1 CTM 521-June 2020 (Verified)
File NameExtensionDate UploadedTest IDActions
23-0075pdf03/13/20232023-02-10-61-1   Info