Sample Record
Owner Lab
- CT D12 - Huntington Beach Field Laboratory
DIME Sample ID 2024-03-13-10
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994147 DEA: 120R4104 EFIS: 1218000090 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-1-17.4/21.5 |
| Award Date | 09/27/2022 |
| Closeout Date | Not set |
| Work Description | COLD PLANE AC AND PLACE RHMA-G. |
| Location Description | ORANGE COUNTY IN NEWPORT BEACH FROM JAMBOREE ROAD TO SANTA ANA RIVER BRIDGE |
| QA Service Level | 1 (Verified on 06/28/2023) |
Sample Information
| Sample Taken Date | 03/13/2024 | Sample Unique Key | 10 |
|---|---|---|---|
| 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 | 03/13/2024 |
| Sample type | Quality Assurance | A brief description of the sample | concrete |
| The quantity of what the sample constitutes | 40 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 | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | National Ready Mix | 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 | SC54C460T1 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 774199 | |
| Concrete batch plant | National Ready Mix Concrete Company | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | At 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 |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||