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Sample Record for 2021-08-17-45

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

Project Information

Project ID: 215236 DEA: 081C6804 EFIS: 0812000343 QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-74,79and371-Varies
Work Description: REPLACE STRUCTURAL CONCRETE BRIDGE, RETAINING WALL AND BOX CULVERT.
Location Description: RIVERSIDE COUNTY AT VARIOUS LOCATIONS
Contractor Name: Ortiz Enterprise
Contractor Address: 6 Cushing, Suite 200, Irvine, Ca 92618-4221
Resident Engineer: Nick Truong Structure Rep.: Arnel L. Vega

Sample Information

DIME Sample ID: 2021-08-17-45
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: 08/17/2021
Date that the sample was received by the laboratory/organization performing the testing: 08/18/2021
The quantity of what the sample constitutes: 100CYDS
A brief description of the sample: 6x12 concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification: C081721-200
Structure unique identifier:
Structure name: Blue Ridge
The fabricator/manufacturer/facility name: Cemex Perris

Material Information

The concrete mix design number: 1610974
The truck number from where the sample was collected: 10067295
The batch plant ticket number from where the sample was collected: 29806172
Concrete batch plant: Cemex Perris
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: Wing Wall footing
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 1

DIME Test ID: 2021-08-17-45-1
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.