Sample Record

Owner Lab

  • CT D12 - Huntington Beach Field Laboratory

DIME Sample ID 2024-05-10-44

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 993136
DEA: 120Q3904
EFIS: 1217000003
DIST-CO-RTE-PM12-ORA-55-4.7
Award Date08/14/2023
Closeout Date12/02/2024
Work DescriptionRECONSTRUCT REINFORCED STRUCTURAL CONCRETE BRIDGE AND BARRIER.
Location DescriptionORANGE COUNTY IN COSTA MESA AT ROUTE 55/73 CONNECTOR
QA Service Level1 (Verified on 07/27/2021)

Sample Information

Sample Taken Date05/10/2024 Sample Unique Key44
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 testing05/13/2024
Sample typeQuality Assurance A brief description of the sample4x8 concrete cylinders
The quantity of what the sample constitutes6 From where was the sample collectedJob Site
First name of sampler or witnessed byReza Last name of sampler or witnessed byFard
Title of sampler Telephone number of sampler7144041000
Laboratory sample identification24-0211 Linked DIME Sample ID
The fabricator/manufacturer/facility nameRobertson's Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberRRM18093
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected1
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedConcrete from wheelbarrow Where the material sample would have been placed if not sampledBridge Deck Overhang Pour Hinge 6 thru 3
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2024-05-10-44-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersDan Morris, CT D12 - Huntington Beach Field Laboratory05/17/2024Sam Jamyari
Yes
05/27/2024
2024-05-10-44-2CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersDan Morris, CT D12 - Huntington Beach Field Laboratory06/07/2024Sam Jamyari
Yes
06/11/2024

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2024-05-10-44-1 CTM 521-June 2020 (Verified)
File NameExtensionDate UploadedTest IDActions
24-0211pdf05/27/20242024-05-10-44-1   Info

DIME Test ID: 2024-05-10-44-2 CTM 521-June 2020 (Verified)
File NameExtensionDate UploadedTest IDActions
24-0211-28Dpdf06/11/20242024-05-10-44-2   Info