Sample Record for 2021-06-11-34
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 215299 DEA: 07260804 EFIS: 0712000104
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-10,405-16.6/30.1,4.8/8.7
Work Description: CONSTRUCT GROSS SOLIDS REMOVAL DEVICES, BIOSWALES AND MEDIA FILTERS.
Location Description: LOS ANGELES COUNTY AT VARIOUS LOCATIONS ON ROUTE 10 0.1 MILE WEST OF SANTA FE AVENUE TO 0.2 MILE WEST OF COGSWELL ROAD UNDERCROSSING AND ON ROUTE 405 0.1 MILE EAST OF CHEERY AVENUE OVERCROSSING TO 0.1 MILE WEST OF SOUTH ALAMEDA STREET UNDERCROSSING
Contractor Name: POWELL CONSTRUCTORS, INC.
Contractor Address: 1355 Brooks Street, Unit "F", Ontario, CA 91762
Resident Engineer: Mesfin Hailu Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2021-06-11-34
TL Number from the TL Form:
Sample Submitted By Organization: Sequoia Consultants
Sample Organization Contact: (714) 974-6316
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 06/11/2021
Date that the sample was received by the laboratory/organization performing the testing: 06/12/2021
The quantity of what the sample constitutes: 100 cy
A brief description of the sample: 6x12 concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification: C061121-100
Structure unique identifier:
Structure name: Austin Vault footing and floor
The fabricator/manufacturer/facility name: Associated Ready Mix - Los Angeles
Material Information
The concrete mix design number: 557237
The truck number from where the sample was collected: 0468
The batch plant ticket number from where the sample was collected: 50408073
Concrete batch plant: Associated RMC Los Angeles
The fabricator/manufacturer designation for the sample: Mix
A detailed description of where the material sample was collected: Discharge chute from back of truck
Where the material sample would have been placed if not sampled: footing and floor
From Lot No.:
Bag Lot No.:
Test Results
Test 1 of 1
DIME Test ID: 2021-06-11-34-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Submitted By Organization: Sequoia Consultants
Organization Address: 361 West Grove Avenue,
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.
