Sample Record

Owner Lab

  • CT D12 - Huntington Beach Field Laboratory

DIME Sample ID 2023-08-25-21

Project Information

Project IdentifiersProject ID: 213750
DEA: 120K0224
EFIS: 1214000097
DIST-CO-RTE-PM12-ORA-5-14.5/17.1
Award Date03/05/2019
Closeout DateNot set
Work DescriptionSouth County Improvement Project (Phase 2 - Oso/Alicia) CONST BRIDGES, RW, SW, HMA PVMT, JPCP, DRAINAGE, AND ELECT SYSTEMS.
Location DescriptionORANGE COUNTY IN MISSION VIEJO AND LAGUNA HILLS FROM 0.7 MILE SOUTH OF OSO PARKWAY OVERCROSSING TO 0.3 MILE SOUTH OF ALICIA PARKWAY OVERCROSSING
QA Service Level1 (Verified on 04/15/2019)

Sample Information

Sample Taken Date08/25/2023 Sample Unique Key21
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 testing08/25/2023
Sample typeQuality Assurance A brief description of the sampleLCB
The quantity of what the sample constitutes250cy From where was the sample collectedManufacturer
First name of sampler or witnessed byJohnny Cuong Last name of sampler or witnessed byDo
Title of sampler Telephone number of sampler7143066148
Laboratory sample identification23-0840 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCemex 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 number1419984
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedCemex Irvine
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedAt the plant 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
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
23-0840pdf08/29/2023   Info

Test File Attachments