Sample Record

Owner Lab

  • Sequoia Consultants

DIME Sample ID 2022-08-30-93

Project Information

Project IdentifiersProject ID: 209698
DEA: 072332E4
EFIS: 0700000391
COOP: 0705187
DIST-CO-RTE-PM07-LA-I-5-45.4/54
Award Date07/01/2021
Closeout DateNot set
Work DescriptionAddition of 14 miles of HOV lanes in both directions would extend existing carpool lanes on the I- 5 in San Fernando Valley to Santa Clarita Valley
Location DescriptionThe I-5 North Capacity Enhancements Project focuses on improvements to the I-5 freeway from cities of Santa Clarita and Castaic, beginning at the SR-14 interchange to Parker Rd.
QA Service Level2 (Verified on 02/03/2021)

Sample Information

Sample Taken Date08/30/2022 Sample Unique Key93
Date that the sample was received by the laboratory/organization performing the testing08/31/2022 Sample typeQuality Control
A brief description of the samplestructural concrete The quantity of what the sample constitutes1 per shift
From where was the sample collectedJob Site First name of sampler or witnessed byShiavhonne
Last name of sampler or witnessed byBlack Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameNational Ready Mix
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)granite big rock creek (no Smara)
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedwheelbarrow
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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