Sample Record
Owner Lab
- Sequoia Consultants
DIME Sample ID 2024-04-10-91
Project Information
Project Identifiers | Project ID: 215314 DEA: 07333004 EFIS: 0716000298 |
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DIST-CO-RTE-PM | 07-LA-5,5-15.1/22.9 |
Award Date | 10/20/2022 |
Closeout Date | Not set |
Work Description | PROJECT PILOT 1 |
Location Description | LOS ANGELES COUNTY IN AND NEAR LOS ANGELES ON ROUTE 5 FROM 0.1 MILE SOUTH OF CALZONA STREET TO 0.1 MILE SOUTH OF RIVERSIDE DRIVE AND ROUTE 2 AT LOS ANGELES REGIONAL TRANSPORTATION MANAGEMENT CENTER |
QA Service Level | 1 (Verified on 07/12/2021) |
Sample Information
Sample Taken Date | 04/10/2024 | Sample Unique Key | 91 |
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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 | 04/11/2024 |
Sample type | Quality Control | A brief description of the sample | structural concrete |
The quantity of what the sample constitutes | 2 cylinders | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Gerard | Last name of sampler or witnessed by | Carreker |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | National R/M (Vernon) | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | S63C451T1 |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 005615 | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | Barrier Wall at S/B I-5 Fwy Indiana off ramp | 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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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |