Sample Record

Owner Lab

  • CT D12 - Huntington Beach Field Laboratory

DIME Sample ID 2023-05-24-69

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214674
DEA: 120N7204
EFIS: 1214000093
DIST-CO-RTE-PM12-ORA-73-10.0/R28.0
Award Date09/16/2020
Closeout DateNot set
Work DescriptionIN ORANGE COUNTY IN LAGUNA NIGUEL, LAGUNA BEACH, NEWPORT BEACH, ALISO VIEJO, LAGUNA HILLS, IRVINE AND COSTA MESA FROM 0.3 MI SOUTH OF NB 73/SB 5 CONNECTOR TO 0.2 MILE NORTH OF NB 73/NB 405 CONNECTOR.
Location DescriptionUPGRADE SAFETY DEVICES, RELOCATE CONTROL CABINET, CCTV'S & ELECTROLIERS, REMOVE & REPLACE OH SIGN STRUCTURES
QA Service Level1 (Verified on 10/27/2020)

Sample Information

Sample Taken Date05/24/2023 Sample Unique Key69
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 testing05/24/2023
Sample typeQuality Assurance A brief description of the sample6x12 concrete cylindes
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 identification23-0175 Linked DIME Sample ID
The fabricator/manufacturer/facility nameUnknown 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 numberSC590B38
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 from wheelbarrow 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
2023-05-24-69-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersDan Morris, CT D12 - Huntington Beach Field Laboratory06/20/2023Sam Jamyari
Yes
06/22/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-05-24-69-1 CTM 521-June 2020 (Verified)
File NameExtensionDate UploadedTest IDActions
23-0175pdf06/22/20232023-05-24-69-1   Info