Sample Record

DIME Sample ID 2020-11-13-15

Project Information

Project IdentifiersProject ID: 214756
DEA: 050N7AU4
EFIS: 0520000030
DIST-CO-RTE-PM05-SB-101-1.4/4.8
Award DateNot set
Closeout Date09/27/2022
Work DescriptionSegment 4A - Carpinteria: Construct HOV lanes and rehabilitation. Source inspection of sign structure trusses, lighting structures, epoxy coated rebar, precast box culverts, precast RCP.
Location DescriptionCARPINTERIA FROM 0.2 MILE SOUTH OF BAILARD AVENUE OVERCROSSING TO 0.7 MILE SOUTH OF SOUTH PADARO LANE
QA Service Level1 (Verified on 03/09/2020)

Owner Lab

  • Sequoia Consultants

Sample Information

Sample Taken Date11/13/2020 Sample Unique Key15
Date that the sample was received by the laboratory/organization performing the testing11/14/2020 Sample typeQuality Control
A brief description of the sampleTwo 6 X 12 Concrete Cylinders The quantity of what the sample constitutes100 cy
From where was the sample collectedJob Site First name of sampler or witnessed byIsidro
Last name of sampler or witnessed byBuenrostro Title of samplerQC Technician
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameHanson - Goleta
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure nameOH sign 10
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number63511N0P
The truck number from where the sample was collected514D The batch plant ticket number from where the sample was collected545031
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedChute discharge into wheel barrel Where the material sample would have been placed if not sampledOH sign 10
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
2020-11-13-15-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersLeo Santamaria , Sequoia Consultants12/11/2020
No

Sample File Attachments

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Test File Attachments


DIME Test ID: 2020-11-13-15-1 CTM 521-June 2020