Sample Record

Owner Lab

  • Sequoia Consultants

DIME Sample ID 2022-06-29-44

Project Information

Project IdentifiersProject ID: 215753
DEA: 050N72U4
EFIS: 0520000169
DIST-CO-RTE-PM05-SB-101-4.4/R7.7
Award Date06/05/2021
Closeout DateNot set
Work DescriptionPlease cc Office Engineer Ni Nyoman Paul on reports sent to RE and SR. Construct High Occupancy Vehicle (HOV) lanes on U.S. Route 101 and rehabilitation - Segment 4B.
Location Description101 freeway in Summerland, CA
QA Service Level1 (Verified on 05/06/2021)

Sample Information

Sample Taken Date06/29/2022 Sample Unique Key44
Date that the sample was received by the laboratory/organization performing the testing06/30/2022 Sample typeQuality Control
A brief description of the sample6x12 concrete cylinders The quantity of what the sample constitutes1 per 100 cy
From where was the sample collectedSource 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 nameMartin Marrieta
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure nameSW-7B Pile
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number72521H0P
The truck number from where the sample was collected550 The batch plant ticket number from where the sample was collected3430875
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedChute from truck Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

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