Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214469 DEA: 030H08U4 EFIS: 0319000029
QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-50-L0.2/R6.1
Work Description: Sac 50 Design Build PLEASE NOTE THAT DESIGN BUILDER MUST PERFORM QUALITY VALIDATION TESTING IN ACCORDANCE WITH THE MATERIAL CONTROL SCHEDULE (MCS) FOR ITEMS SUCH AS STRANDS, HS BOLTS, ELASTOMERIC BEARING PADS, JOINT SEALANTS, COUPLERS & WELDED HOOPS, ETC
Location Description: FROM 0.1 MILE EAST OF I-5 TO 0.8 MILE EAST OF WATT AVE
Contractor Name: FLATIRON WEST INC
Contractor Address: 2100 Goodyear Rd., Benicia, CA 94510
Resident Engineer: Jim Rogers Structure Rep.: Daniel Eggers
DIME Sample ID: 2023-08-19-6
TL Number from the TL Form:
Sample Submitted By Organization: Sequoia Consultants
Sample Organization Contact: (714) 974-6316
Type of Sample: Informational
Type of Material: Concrete Core
Sample Taken Date: 08/19/2023
Date that the sample was received by the laboratory/organization performing the testing: 08/19/2023
The quantity of what the sample constitutes: 6 Cores for Frame 3
A brief description of the sample: 6 -4" Cores
From where was the sample collected: Job Site
Laboratory sample identification: C072923-100
Structure unique identifier:
Structure name: BR -11 Frame 3
The fabricator/manufacturer/facility name: Elite Ready Mix Bradshaw
Detail description: Concrete Cores
Structure names: BR 11 Frame 3
Type of material: Structural Concrete
DIME Test ID: 2023-08-19-6-1
Test Method: ASTM C42-13: Standard Test Method for Obtaining and Testing Drilled Cores and Sawed Beams of Concrete
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
Data has not been verified.
DIME Test ID: 2023-08-19-6-2
Test Method: ASTM C42-13: Standard Test Method for Obtaining and Testing Drilled Cores and Sawed Beams of Concrete
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
Data has not been verified.
DIME Test ID: 2023-08-19-6-3
Test Method: ASTM C42-13: Standard Test Method for Obtaining and Testing Drilled Cores and Sawed Beams of Concrete
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
Data has not been verified.
