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Sample Record for 2021-08-30-53

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

Project Information

Project ID: 215050 DEA: 080R1424 EFIS: 0815000201 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-40-R125.0/R154.6
Work Description: ROADWAY EXCAVATION, IMPORT BORROW AND REGRADE THE MEDIAN SLOPE.
Location Description: SAN BERNARDINO COUNTY FROM 4.5 MILES EAST OF HOMER WASH BRIDGE TO ARIZONA STATE LINE
Contractor Name: Ames Construction
Contractor Address: 391 N. MAIN STREET, CORONA CA 92880
Resident Engineer: Darcy Davis Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-08-30-53
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: 08/30/2021
Date that the sample was received by the laboratory/organization performing the testing: 08/31/2021
The quantity of what the sample constitutes: 100 cyds
A brief description of the sample: 6x12 concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification: C083021-202
Structure unique identifier:
Structure name: DS 153
The fabricator/manufacturer/facility name: Cemex Bullhead City

Material Information

The concrete mix design number: 161944
The truck number from where the sample was collected: 39796
The batch plant ticket number from where the sample was collected: 46513167
Concrete batch plant: Cemex Bullhead City
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: Head wall and wing wall footings
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 1

DIME Test ID: 2021-08-30-53-1
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.