Sample Record
Owner Lab
- CT D12 - Huntington Beach Field Laboratory
DIME Sample ID 2024-03-07-30
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Project Information
| Project Identifiers | Project ID: 214487 DEA: 120Q9304 EFIS: 1217000128 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-5,133,241-122,241-var |
| Award Date | 05/09/2022 |
| Closeout Date | Not set |
| Work Description | 12-0Q930, SHOPP RESERVATION BRIDGE PROJECT - BRIDGE UPGRADE, WINGWALL, SUBSTRUCTURE, DECK, SPALL, JOINT SEAL, CONC. |
| Location Description | ORANGE COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 12/10/2020) |
Sample Information
| Sample Taken Date | 03/07/2024 | Sample Unique Key | 30 |
|---|---|---|---|
| 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 | 03/08/2024 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Reza | Last name of sampler or witnessed by | Fard |
| Title of sampler | Structure Representative | Telephone number of sampler | (714)404-1000 |
| Laboratory sample identification | 24-0086 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Peterson Chase | 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 | 556300 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 1 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Concrete from wheelbarrow | Where the material sample would have been placed if not sampled | Irvine OH Bridge Location 13 Sta 484 82 to 485 88 |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-03-07-30-1 CTM 521-June 2020 (Verified)
| File Name | Extension | Date Uploaded | Test ID | Actions |
|---|---|---|---|---|
| 24-0086-28D | 04/04/2024 | 2024-03-07-30-1 | Info |