Sample Record
Owner Lab
- Sequoia Consultants
DIME Sample ID 2024-07-11-107
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Project Information
| Project Identifiers | Project ID: 1000073 DEA: 120N3704 EFIS: 1214000005 COOP: 12820 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-I-5-R25.0 |
| Award Date | 11/20/2023 |
| Closeout Date | Not set |
| Work Description | Construct Class I bicycle and pedestrian bridge/trail connection of the Jeffrey Open Space Trail (JOST) across I-5. |
| Location Description | I-5/Jeffrey Road Interchange |
| QA Service Level | 2 (Verified on 01/23/2024) |
Sample Information
| Sample Taken Date | 07/11/2024 | Sample Unique Key | 107 |
|---|---|---|---|
| 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 | 07/12/2024 |
| 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 | Holland | Last name of sampler or witnessed by | Cantu |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Holiday Rock | 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 | 3H40L020 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 108191180 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Center Median- Bent 6 Footing | 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: 2024-07-11-107-1 CTM 521-June 2020 (Verified)