Sample Record

DIME Sample ID 2021-09-14-40

Project Information

Project IdentifiersProject ID: 215129
DEA: 050N73U4
EFIS: 0520000166
DIST-CO-RTE-PM05-SB-101-7.3/9.6
Award Date10/22/2020
Closeout Date12/11/2023
Work Description!!Please CC Office Engineer Gabrielle Herrera on reports to RE and SR!! Segment 4C - Summerland: Construct HOV lanes and rehabilitation. Source inspection of sign structure trusses, lighting structures, steel soldier piles, epoxy coated rebar,
Location DescriptionSUMMERLAND FROM 0.2 MILES NORTH OF PARDARO LANE OVERCROSSING TO SAN YSIDRO CREEK BRIDGE
QA Service Level1 (Verified on 08/24/2020)

Owner Lab

  • Sequoia Consultants

Sample Information

Sample Taken Date09/14/2021 Sample Unique Key40
Date that the sample was received by the laboratory/organization performing the testing09/14/2021 Sample typeQuality Control
A brief description of the sampleCt 7.18 C+F25% 1"/PGUHR 4 in The quantity of what the sample constitutes3 cylinders
From where was the sample collectedJob Site First name of sampler or witnessed byTim
Last name of sampler or witnessed byReyes Title of sampler
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 name
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number725A1Z0P
The truck number from where the sample was collected3818 The batch plant ticket number from where the sample was collected549756
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedSB Hwy 101, TW Pile 19 Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

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