Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2024-02-22-12
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994968 DEA: 120M82C4 EFIS: 1219000036 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-1-7.9/10.5 |
| Award Date | 01/02/2023 |
| Closeout Date | Not set |
| Work Description | Place RHMA-G and minor concrete and modify electrical system. |
| Location Description | In Orange County In Laguna Beach, On State Route 1 (Also Known As Pacific Coast Highway Or Sr-1) From Ruby Street (Pm 7.9) To Ledroit |
| QA Service Level | 1 (Verified on 07/13/2023) |
Sample Information
| Sample Taken Date | 02/22/2024 | Sample Unique Key | 12 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 02/23/2024 |
| Sample type | Department Acceptance | A brief description of the sample | 3-1/4"x8" concrete core samples |
| The quantity of what the sample constitutes | 2 pcs | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Joaquin | Last name of sampler or witnessed by | Moreno |
| Title of sampler | Telephone number of sampler | 7146990897 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Caltrans METS | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete Core | Detail description | concrete core samples 3in x 8in |
|---|---|---|---|
| Structure names | PCH basement wall | Type of material | Core samples |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-02-22-12-1 ASTM C39-10 (Verified)
DIME Test ID: 2024-02-22-12-2 ASTM C39-10 (Verified)