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Sample Record for 2021-07-28-38

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

Project Information

Project ID: 215129 DEA: 050N73U4 EFIS: 0520000166 QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-101-7.3/9.6
Work Description: !!Please CC Office Engineer Gabrielle Herrera on reports to RE and SR!! Segment 4C - Summerland: Construct HOV lanes and rehabilitation. Source inspection of sign structure trusses, lighting structures, steel soldier piles, epoxy coated rebar,
Location Description: SUMMERLAND FROM 0.2 MILES NORTH OF PARDARO LANE OVERCROSSING TO SAN YSIDRO CREEK BRIDGE
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: PO Box 6744, Santa Barbara , CA 93111
Resident Engineer: Luobao Cai Structure Rep.: Emiliano Berntsen

Sample Information

DIME Sample ID: 2021-07-28-38
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: 07/28/2021
Date that the sample was received by the laboratory/organization performing the testing: 08/25/2021
The quantity of what the sample constitutes: 6 cylinders
A brief description of the sample: PCC
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Hanson - Goleta

Material Information

The concrete mix design number: 72F1S0Z
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 549013
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: CIP Placement Stage 2A, Sheffields Approach Slabs
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 1

DIME Test ID: 2021-07-28-38-1
Test Method: CTM 521-June 2012: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 09/13/2021
Date Tested: 08/25/2021
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
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Number of specimens 6
Average Compressive Strength (to nearest 10) 6500 lb/in^2
Cylinder Age 28 days
Break Description of Cylinder 1 (if not 'cone') no data
Break Description of Cylinder 2 (if not 'cone') no data
Break Description of Cylinder 3 (if not 'cone') no data
Break Description of Cylinder 4 (if not 'cone') no data
Break Description of Cylinder 5 (if not 'cone') no data
Break Description of Cylinder 6 (if not 'cone') no data