Sample Record

Owner Lab

  • Sequoia Consultants

DIME Sample ID 2020-07-01-22

Project Information

Project IdentifiersProject ID: 214355
DEA: 120K0214
EFIS: 1214000096
DIST-CO-RTE-PM12-ORA-5-12.4/14.5
Award Date12/20/2019
Closeout DateNot set
Work DescriptionSouth County Improvement Project (Phase 1 - Avery/Crown Valley) PLACE HMA, INSTALL CONC PAVEMENT, RETAIN WALL, MODIFY ELECT SYS. | Add one lane btwn 73 & Oso PKWY
Location DescriptionORANGE COUNTY IN SAN JUAN CAPISTRANO, LAGUNA HILLS, LAGUNA NIGUEL AND MISSION VIEJO FROM 0.5 MILE SOUTH OF AVERY PARKWAY UNDERCROSSING TO 0.8 MILE NORTH OF CROWN VALLEY PARKWAY OVERCROSSING
QA Service Level1 (Verified on 10/31/2019)

Sample Information

Sample Taken Date07/01/2020 Sample Unique Key22
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing07/02/2020
Sample typeQuality Control A brief description of the sampleConcrete Aggregates
The quantity of what the sample constitutes300 cu. yds. From where was the sample collectedManufacturer
First name of sampler or witnessed byJerome Last name of sampler or witnessed byAyers
Title of samplerQC Field Technician Telephone number of sampler
Laboratory sample identificationS070120-102 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCemex - San Juan Capistrano Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameRetaining Wall 720

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-36-0040::LYTLE CREEK
The fabricator's/manufacturer's product name for the sampleStructural Concrete - Corrosive Environment The fabricator/manufacturer designation for the sample1614705
The plant numberUnknown A detailed description of where the material sample was collectedConveyor Belt
Where the material sample would have been placed if not sampledFooting Primary Aggregate Nominal Size1 inch
The concrete mix design number1614705 Lot numberUnknown
Sublot numberUnknown HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-07-01-22-1CTM 217-June 2011: Method of Test for Sand EquivalentRuben JimenezSequoia Consultants07/06/2020Ken Mancebo
No
Info
2020-07-01-22-2CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven DryingRuben JimenezSequoia Consultants07/06/2020Ken Mancebo
No
Info
2020-07-01-22-3CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Ruben JimenezSequoia Consultants07/06/2020Ken Mancebo
No
Info
2020-07-01-22-4CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesRuben JimenezSequoia Consultants07/06/2020Ken Mancebo
No
Info