Sample Record
Owner Lab
- CT D12 - Huntington Beach Field Laboratory
DIME Sample ID 2024-05-28-33
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 214698 DEA: 120N8904 EFIS: 1214000130 |
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DIST-CO-RTE-PM | 12-ORA-133-8.3/M9.3 |
Award Date | 11/09/2023 |
Closeout Date | Not set |
Work Description | CONSTRUCT AUXILIARY LANE. |
Location Description | ORANGE COUNTY IN IRVINE FROM ROUTE 133/405 SEPARATION TO IRVINE CENTER DRIVE OVERCROSSING |
QA Service Level | 1 (Verified on 02/22/2021) |
Sample Information
Sample Taken Date | 05/28/2024 | Sample Unique Key | 33 |
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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 | 05/30/2024 |
Sample type | Quality Assurance | A brief description of the sample | 4x8 concrete cylinders |
The quantity of what the sample constitutes | 6 | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Younho | Last name of sampler or witnessed by | Rew |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 24-0255 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | National / 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 | S72C447T14 |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 004778 | |
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 | Rt 133 RW 55 Stem Pour |
From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |