Sample Record

Owner Lab

  • CT D12 - Huntington Beach Field Laboratory

DIME Sample ID 2023-06-06-66

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213749
DEA: 120C1104
EFIS: 1200000633
DIST-CO-RTE-PM12-ORA-57-20.3/21.6
Award Date04/19/2019
Closeout Date05/28/2024
Work DescriptionSR-57 Lambert Interchange Project: WIDEN BRIDGES AND CONSTRUCT RW, SW, HMA, JPCP AND ELECTRICAL SYSTEMS.
Location DescriptionORANGE COUNTY IN BREA FROM 0.6 MILE SOUTH TO 0.7 MILE NORTH OF LAMBERT ROAD UNDERCROSSING
QA Service Level1 (Verified on 05/31/2019)

Sample Information

Sample Taken Date06/06/2023 Sample Unique Key66
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 testing06/06/2023
Sample typeQuality Assurance A brief description of the sample6x6x18 Beam
The quantity of what the sample constitutes4 From where was the sample collectedJob Site
First name of sampler or witnessed byDavid Last name of sampler or witnessed byNguyen
Title of sampler Telephone number of sampler9492798470
Laboratory sample identification23-0181 Linked DIME Sample ID
The fabricator/manufacturer/facility nameSecurity Paving 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 number1605760
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 sampledLA5 5 plus 00
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-06-06-66-1CTM 523-May 2020: Method of Test for Flexural Strength of ConcreteDan Morris, CT D12 - Huntington Beach Field Laboratory06/16/2023Sam Jamyari
Yes
06/22/2023
2023-06-06-66-2CTM 523-May 2020: Method of Test for Flexural Strength of ConcreteDan Morris, CT D12 - Huntington Beach Field Laboratory07/04/2023Sam Jamyari
Yes
07/04/2023

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2023-06-06-66-1 CTM 523-May 2020 (Verified)
File NameExtensionDate UploadedTest IDActions
23-0181pdf06/22/20232023-06-06-66-1   Info

DIME Test ID: 2023-06-06-66-2 CTM 523-May 2020 (Verified)
File NameExtensionDate UploadedTest IDActions
23-0181Bpdf07/04/20232023-06-06-66-2   Info