Sample Record
Owner Lab
- CT D12 - Huntington Beach Field Laboratory
DIME Sample ID 2024-03-05-11
Project Information
Project Identifiers | Project ID: 34 DEA: 01262004 EFIS: 0100000005 |
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DIST-CO-RTE-PM | 01-MEN-101-43.5/49.0 |
Award Date | 07/26/2012 |
Closeout Date | 08/29/2017 |
Work Description | CONSTRUCT 2 LANE HIGHWAY ON NEW ALIGNMENT. |
Location Description | NEAR WILLITS FROM 0.8 KM S HEAHL OH TO 0.8 KM N OF REYNOLDS HIGHWAY (WILLITS BYPASS) |
QA Service Level | 1 (Verified on 11/08/2012) |
Sample Information
Sample Taken Date | 03/05/2024 | Sample Unique Key | 11 |
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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 | 03/05/2024 |
Sample type | Quality Assurance | A brief description of the sample | 1", 3/8" & SANDS |
The quantity of what the sample constitutes | 100 CU.YDS | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | JIMMY CUONG | Last name of sampler or witnessed by | PHAM |
Title of sampler | Lab Technician | Telephone number of sampler | 9492798487 |
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 | Concrete | The concrete mix design number | 1605760 |
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The truck number from where the sample was collected | 10067280 | The batch plant ticket number from where the sample was collected | 31119996 |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | On the belt of the 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. |