Sample Record
Owner Lab
- CT D12 - Huntington Beach Field Laboratory
DIME Sample ID 2023-11-14-49
Project Information
Project Identifiers | Project ID: 994255 DEA: 120R5004 EFIS: 1218000101 |
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DIST-CO-RTE-PM | 12-ORA-55-0.6 |
Award Date | 10/31/2022 |
Closeout Date | Not set |
Work Description | MODIFY SIGNAL AND LIGHTING SYSTEMS AND CONSTRUCT SIDEWALK CURB RAMPS. |
Location Description | ORANGE COUNTY IN NEWPORT BEACH AT HOSPITAL ROAD |
QA Service Level | 1 (Verified on 02/03/2023) |
Sample Information
Sample Taken Date | 11/14/2023 | Sample Unique Key | 49 |
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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 | 11/14/2023 |
Sample type | Quality Assurance | A brief description of the sample | concrete |
The quantity of what the sample constitutes | 10 Cy | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Johnny Cuong | Last name of sampler or witnessed by | Do |
Title of sampler | Telephone number of sampler | 7143066148 | |
Laboratory sample identification | 23-1267 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Cemex Irvine | 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 | 01 |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | Cemex Irvine | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | PLANT | Where the material sample would have been placed if not sampled | |
From Lot No. | Bag Lot No. |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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23-0R5004 | 11/17/2023 | Info |