Sample Record
Owner Lab
- CT D12 - Huntington Beach Field Laboratory
DIME Sample ID 2023-05-24-69
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 214674 DEA: 120N7204 EFIS: 1214000093 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-73-10.0/R28.0 |
| Award Date | 09/16/2020 |
| Closeout Date | Not set |
| Work Description | IN 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 Description | UPGRADE SAFETY DEVICES, RELOCATE CONTROL CABINET, CCTV'S & ELECTROLIERS, REMOVE & REPLACE OH SIGN STRUCTURES |
| QA Service Level | 1 (Verified on 10/27/2020) |
Sample Information
| Sample Taken Date | 05/24/2023 | Sample Unique Key | 69 |
|---|---|---|---|
| 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 | 05/24/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylindes |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | JUSTIN | Last name of sampler or witnessed by | MOY |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 23-0175 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Unknown | 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 | SC590B38 |
|---|---|---|---|
| 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 | |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-05-24-69-1 CTM 521-June 2020 (Verified)
| File Name | Extension | Date Uploaded | Test ID | Actions |
|---|---|---|---|---|
| 23-0175 | 06/22/2023 | 2023-05-24-69-1 | Info |