Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
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 Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 5335 Debbie Road, Santa Barbara, CA 93111
Resident Engineer: Luobao Cai Structure Rep.: Emiliano Berntsen
DIME Sample ID: 2022-10-09-1
TL Number from the TL Form:
Sample Submitted By Organization: TRC Companies
Sample Organization Contact: (805) 621-3616
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 10/09/2022
Date that the sample was received by the laboratory/organization performing the testing: 10/10/2022
The quantity of what the sample constitutes: 470 Yards
A brief description of the sample: Concrete beams
From where was the sample collected: Other
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Construction
The concrete mix design number: 195
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 10388
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: cement mixer load 4
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2022-10-09-1-1
Test Method: CTM 523-May 2020: Method of Test for Flexural Strength of Concrete
Submitted By Organization: TRC Companies
Organization Address: 21 Griffin Road North,
Organization City: Windsor
Organization State: CT
Organization Zipcode: 06095-1590
Organization Email: dlachaine@trccompanies.com
Organization Phone: (805) 621-3616
Data has not been verified.
