Sample Record
Owner Lab
- Sequoia Consultants
DIME Sample ID 2024-08-24-20
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 209698 DEA: 072332E4 EFIS: 0700000391 COOP: 0705187 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-I-5-45.4/54 |
| Award Date | 07/01/2021 |
| Closeout Date | Not set |
| Work Description | Addition of 14 miles of HOV lanes in both directions would extend existing carpool lanes on the I- 5 in San Fernando Valley to Santa Clarita Valley |
| Location Description | The I-5 North Capacity Enhancements Project focuses on improvements to the I-5 freeway from cities of Santa Clarita and Castaic, beginning at the SR-14 interchange to Parker Rd. |
| QA Service Level | 2 (Verified on 02/03/2021) |
Sample Information
| Sample Taken Date | 08/24/2024 | Sample Unique Key | 20 |
|---|---|---|---|
| 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 | 08/25/2024 |
| Sample type | Quality Control | A brief description of the sample | structural concrete |
| The quantity of what the sample constitutes | 2 cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Derek | Last name of sampler or witnessed by | Bezotte |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | National Ready Mix | 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 | S73C445T13 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 297920 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | I-5 NB RW 2460 +75, lift #3 | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-08-24-20-1 CTM 521-June 2020 (Verified)