Sample Record
Owner Lab
- Sequoia Consultants
DIME Sample ID 2024-01-29-33
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 214355 DEA: 120K0214 EFIS: 1214000096 |
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DIST-CO-RTE-PM | 12-ORA-5-12.4/14.5 |
Award Date | 12/20/2019 |
Closeout Date | Not set |
Work Description | South County Improvement Project (Phase 1 - Avery/Crown Valley) PLACE HMA, INSTALL CONC PAVEMENT, RETAIN WALL, MODIFY ELECT SYS. | Add one lane btwn 73 & Oso PKWY |
Location Description | ORANGE COUNTY IN SAN JUAN CAPISTRANO, LAGUNA HILLS, LAGUNA NIGUEL AND MISSION VIEJO FROM 0.5 MILE SOUTH OF AVERY PARKWAY UNDERCROSSING TO 0.8 MILE NORTH OF CROWN VALLEY PARKWAY OVERCROSSING |
QA Service Level | 1 (Verified on 10/31/2019) |
Sample Information
Sample Taken Date | 01/29/2024 | Sample Unique Key | 33 |
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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 | 01/29/2024 |
Sample type | Quality Control | A brief description of the sample | 1x4 concrete aggregates |
The quantity of what the sample constitutes | 1 per batch | From where was the sample collected | Supplier |
First name of sampler or witnessed by | Erika | Last name of sampler or witnessed by | Estrada |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 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 | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-36-0040 |
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The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
The plant number | A detailed description of where the material sample was collected | stockpile or belt cut | |
Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/8 inch | |
The concrete mix design number | Lot number | ||
Sublot number | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2024-01-29-33-1 CTM 226-July 2010 (Verified)
DIME Test ID: 2024-01-29-33-2 CTM 217-June 2011 (Verified)
DIME Test ID: 2024-01-29-33-3 CTM 227-December 2014 (Verified)
DIME Test ID: 2024-01-29-33-4 CTM 202-November 2011 (Verified)
DIME Test ID: 2024-01-29-33-5 CTM 202-November 2011 (Verified)