Sample Record

Owner Lab

  • Sequoia Consultants

DIME Sample ID 2024-11-01-48

Project Information

Project IdentifiersProject ID: 1000259
DEA: 050N74V4
EFIS: 0522000043
DIST-CO-RTE-PM05-SB-101-9.2/9.7
Award Date02/08/2024
Closeout DateNot set
Work DescriptionNot set
Location DescriptionFOR CONSTRUCTION ON STATE HIGHWAY IN SANTA BARBARA COUNTY AT MONTECITO FROM 0.2 MILE NORTH OF SHEFFIELD DRIVE UNDERCROSSING TO 0.3 MILE SOUTH OF SAN YSIDRO ROAD OVERCROSSING
QA Service Level1 (Verified on 04/15/2024)

Sample Information

Sample Taken Date11/01/2024 Sample Unique Key48
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 testing11/01/2024
Sample typeQuality Control A brief description of the sample1x4 concrete aggregates
The quantity of what the sample constitutes1 per batch From where was the sample collectedSupplier
First name of sampler or witnessed byHarrison Last name of sampler or witnessed byKain
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCemex Santa Barbara Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-56-0032
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedStockpile or belt cut
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments