Sample Record for 2026-10-02-20
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1001625 DEA: 11173704 EFIS: 1100020255
QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-805-2.6/3.2
Work Description: WIDEN INTERCHANGE, STRUCTURES, HMA-A, RHMA-G, LANDSCAPE, & ELECTRICAL.
Location Description: SAN DIEGO COUNTY IN SAN DIEGO FROM 0.3 MILE SOUTH TO 0.3 MILE NORTH OF PALM AVENUE OVERCROSSING
Contractor Name: SEMA CONSTRUCTION
Contractor Address: 1901 Cmino Vida Roble, Suite 100, Carlsbad, CA 92008
Resident Engineer: Karl Hartline Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2026-10-02-20
TL Number from the TL Form:
Sample Submitted By Organization: CT D11 - District 11 Materials Laboratory
Sample Organization Contact: (858) 518-8709
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 10/02/2026
Date that the sample was received by the laboratory/organization performing the testing: 09/25/2026
The quantity of what the sample constitutes: 4 cylinders
A brief description of the sample: Concrete
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Associated Otay
Material Information
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: Palm Ave Abut 1 & 3
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
Test Results
Test
DIME Test ID: 2026-10-02-20-5
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 4050 Taylor Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92110
Organization Email: benjamin.haney@dot.ca.gov
Organization Phone: (858) 688-1595
Data has not been verified.
