Sample Record

Owner Lab

  • Sequoia Consultants

DIME Sample ID 2020-08-04-31

Project Information

Project IdentifiersProject ID: 214355
DEA: 120K0214
EFIS: 1214000096
DIST-CO-RTE-PM12-ORA-5-12.4/14.5
Award Date12/20/2019
Closeout Date10/02/2025
Work DescriptionSouth County Improvement Project (Phase 1 - Avery/Crown Valley) PLACE HMA, INSTALL CONC PAVEMENT, RETAIN WALL, MODIFY ELECT SYS. | Add one lane btwn 73 & Oso PKWY
Location DescriptionORANGE COUNTY IN SAN JUAN CAPISTRANO, LAGUNA HILLS, LAGUNA NIGUEL AND MISSION VIEJO FROM 0.5 MILE SOUTH OF AVERY PARKWAY UNDERCROSSING TO 0.8 MILE NORTH OF CROWN VALLEY PARKWAY OVERCROSSING
QA Service Level1 (Verified on 10/31/2019)

Sample Information

Sample Taken Date08/04/2020 Sample Unique Key31
Date that the sample was received by the laboratory/organization performing the testing08/05/2020 Sample typeQuality Control
A brief description of the sample6x12 concrete cylinders The quantity of what the sample constitutes40CY
From where was the sample collectedJob Site First name of sampler or witnessed byLorenzo
Last name of sampler or witnessed byFlores Title of samplerField Technician
Telephone number of sampler Laboratory sample identificationC080420-106
Linked DIME Sample ID The fabricator/manufacturer/facility nameCemex San Juan Capistrano
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure nameRetaining Wall 759
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number1614705
The truck number from where the sample was collected2 The batch plant ticket number from where the sample was collectedNR
Concrete batch plantCemex San Juan Capistrano The fabricator/manufacturer designation for the sample1614705
A detailed description of where the material sample was collectedBack of the truck Chute Where the material sample would have been placed if not sampledRetaining Wall
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
2020-08-04-31-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersRuben Jimenez, Sequoia Consultants09/01/2020
No

Sample File Attachments

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Test File Attachments


DIME Test ID: 2020-08-04-31-1 CTM 521-June 2020