Sample Record

DIME Sample ID 2021-02-01-35

Project Information

Project IdentifiersProject ID: 214909
DEA: 120N8604
EFIS: 1214000123
DIST-CO-RTE-PM12-ORA-73-23.7/24.1
Award Date06/25/2020
Closeout Date01/09/2023
Work DescriptionREPLACE STRUCTURAL CONCRETE BRIDGE & RETAINING WALL; & PLACE HMA.
Location DescriptionORANGE COUNTY IN NEWPORT BEACH FROM 0.3 MILE NORTH OF BISON AVENUE TO 0.3 MILE SOUTH OF UNIVERSITY DRIVE
QA Service Level1 (Verified on 07/21/2020)

Owner Lab

  • Sequoia Consultants

Sample Information

Sample Taken Date02/01/2021 Sample Unique Key35
Date that the sample was received by the laboratory/organization performing the testing02/02/2021 Sample typeQuality Control
A brief description of the samplestructural concrete The quantity of what the sample constitutes2
From where was the sample collectedJob Site First name of sampler or witnessed byDerek Bezotte
Last name of sampler or witnessed byDerek Bezotte Title of samplerMr
Telephone number of sampler7149746316 Laboratory sample identificationC020121-101
Linked DIME Sample ID- The fabricator/manufacturer/facility nameCemex
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier12-0N8604 Structure nameRetaining Wall 350
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number1614705
The truck number from where the sample was collected10070515 The batch plant ticket number from where the sample was collected29455279
Concrete batch plantirvine The fabricator/manufacturer designation for the sampleMix
A detailed description of where the material sample was collectedOnsite Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
2021-02-01-35-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylindersshamila Ranjan, Sequoia Consultants03/01/2021
No

Sample File Attachments

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Test File Attachments


DIME Test ID: 2021-02-01-35-1 CTM 521-June 2020