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Sample Record for 2021-11-10-57

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Project Information

Project ID: 215753 DEA: 050N72U4 EFIS: 0520000169 QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-101-4.4/R7.7
Work Description: Please cc Office Engineer Ni Nyoman Paul on reports sent to RE and SR. Construct High Occupancy Vehicle (HOV) lanes on U.S. Route 101 and rehabilitation - Segment 4B.
Location Description: 101 freeway in Summerland, CA
Contractor Address: 5335 Debbie Road, Santa Barbara, CA 93111
Resident Engineer: Luobao Cai Structure Rep.: Emiliano Berntsen

Sample Information

DIME Sample ID: 2021-11-10-57
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: 11/10/2021
Date that the sample was received by the laboratory/organization performing the testing: 12/22/2021
The quantity of what the sample constitutes: 2 cylinders
A brief description of the sample: CT 7.5 C+F+SF 1"/PGSHR/HS/SR0
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Martin Marrieta Goleta

Material Information

The concrete mix design number: 75F1SWZ
The truck number from where the sample was collected: 552
The batch plant ticket number from where the sample was collected: 550818
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Hwy 101 Toro Canyon, Arroyo Paredon Bridge Deck
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: 2021-11-10-57-1
Test Method: CTM 521-June 2012: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 12/23/2021
Date Tested: 11/10/2021
Submitted By Organization: Sequoia Consultants
Organization Address: 361 West Grove Avenue,
Organization City: Orange
Organization State: CA
Organization Zipcode: 92865
Organization Email:
Organization Phone: 1 (714) 974-6316
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Number of specimens 2
Average Compressive Strength (to nearest 10) 6550 lb/in^2
Cylinder Age 42 days
Break Description of Cylinder 1 (if not 'cone') 2
Break Description of Cylinder 2 (if not 'cone') 2