Sample Record
Owner Lab
- Sequoia Consultants
DIME Sample ID 2024-06-06-115
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Project Information
| Project Identifiers | Project ID: 995192 DEA: 07351304 EFIS: 0718000189 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-2,5-15.1,22.5 |
| Award Date | 01/16/2024 |
| Closeout Date | Not set |
| Work Description | SEISMIC RETROFIT AND GUARDRAIL UPGRADE. |
| Location Description | LOS ANGELES COUNTY AT ROUTE 2/5 SEPARATION |
| QA Service Level | 1 (Verified on 10/03/2023) |
Sample Information
| Sample Taken Date | 06/06/2024 | Sample Unique Key | 115 |
|---|---|---|---|
| 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 | 06/07/2024 |
| 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 | Angel | Last name of sampler or witnessed by | Zuniga |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | National Ready Mix - Glendale | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | S59C456T10 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 325735 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | SB 5 to NB 2 Connector Barrier Rail Footing (5GCN7 188+5.3 to 190+11.6) | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-06-06-115-1 CTM 521-June 2020 (Verified)