Sample Record
Owner Lab
- Sequoia Consultants
DIME Sample ID 2020-12-15-23
Project Information
Project Identifiers | Project ID: 214909 DEA: 120N8604 EFIS: 1214000123 |
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DIST-CO-RTE-PM | 12-ORA-73-23.7/24.1 |
Award Date | 06/25/2020 |
Closeout Date | 01/09/2023 |
Work Description | REPLACE STRUCTURAL CONCRETE BRIDGE & RETAINING WALL; & PLACE HMA. |
Location Description | ORANGE COUNTY IN NEWPORT BEACH FROM 0.3 MILE NORTH OF BISON AVENUE TO 0.3 MILE SOUTH OF UNIVERSITY DRIVE |
QA Service Level | 1 (Verified on 07/21/2020) |
Sample Information
Sample Taken Date | 12/15/2020 | Sample Unique Key | 23 |
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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 | 12/26/2020 |
Sample type | Quality Control | A brief description of the sample | structural concrete |
The quantity of what the sample constitutes | One Sample Every 100 CY | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Kristi | Last name of sampler or witnessed by | Doss |
Title of sampler | Mrs | Telephone number of sampler | 7149746316 |
Laboratory sample identification | C121520-104 | Linked DIME Sample ID | - |
The fabricator/manufacturer/facility name | Cemex | Transportation Laboratory (TL) Number | - |
Inspector Lot Number from the Transportation Laboratory (TL) Form | - | Structure unique identifier | 12-0N8604 |
Structure name | 12-0N8604 Route 73 in Newport Beach |
Material Information
Material Type | Concrete | The concrete mix design number | 1614705 |
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The truck number from where the sample was collected | 67845 | The batch plant ticket number from where the sample was collected | 29393310 |
Concrete batch plant | irviene | The fabricator/manufacturer designation for the sample | Mix |
A detailed description of where the material sample was collected | on site | Where the material sample would have been placed if not sampled | |
From Lot No. | Bag Lot No. |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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2020-12-15-23-1 | CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders | shamila Ranjan, Sequoia Consultants | 01/12/2021 | shamila Ranjan | No | Info |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2020-12-15-23-1 CTM 521-June 2020