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Sample Record for 2020-11-13-15

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 214756 DEA: 050N7AU4 EFIS: 0520000030 QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-101-1.4/4.8
Work Description: Segment 4A - Carpinteria: Construct HOV lanes and rehabilitation. Source inspection of sign structure trusses, lighting structures, epoxy coated rebar, precast box culverts, precast RCP.
Location Description: CARPINTERIA FROM 0.2 MILE SOUTH OF BAILARD AVENUE OVERCROSSING TO 0.7 MILE SOUTH OF SOUTH PADARO LANE
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 5335 Debbie Rd, Santa Barbara, CA 93160
Resident Engineer: Taylor Merlo Structure Rep.: Hernandez, Bernardo

Sample Information

DIME Sample ID: 2020-11-13-15
TL Number from the TL Form:
Sample Submitted By Organization: Sequoia Consultant
Sample Organization Contact: 1 (714) 974-6316
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 11/13/2020
Date that the sample was received by the laboratory/organization performing the testing: 11/14/2020
The quantity of what the sample constitutes: 100 cy
A brief description of the sample: Two 6 X 12 Concrete Cylinders
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name: OH sign 10
The fabricator/manufacturer/facility name: Hanson - Goleta

Material Information

The concrete mix design number: 63511N0P
The truck number from where the sample was collected: 514D
The batch plant ticket number from where the sample was collected: 545031
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Chute discharge into wheel barrel
Where the material sample would have been placed if not sampled: OH sign 10
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 1

DIME Test ID: 2020-11-13-15-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Submitted By Organization: Sequoia Consultant
Organization Address: 361 W Grove Ave,
Organization City: Orange
Organization State: CA
Organization Zipcode: 92865
Organization Email: sranjan@sequoiacon.com
Organization Phone: 1 (714) 974-6316
Data has not been verified.

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.