Sample Record
Owner Lab
- Sequoia Consultants
DIME Sample ID 2020-09-14-21
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214355 DEA: 120K0214 EFIS: 1214000096 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-5-12.4/14.5 |
| Award Date | 12/20/2019 |
| Closeout Date | Not set |
| Work Description | South 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 Description | ORANGE 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 Level | 1 (Verified on 10/31/2019) |
Sample Information
| Sample Taken Date | 09/14/2020 | Sample Unique Key | 21 |
|---|---|---|---|
| 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 testing | 09/12/2020 |
| Sample type | Quality Control | A brief description of the sample | concrete aggregates |
| The quantity of what the sample constitutes | 1 day placement | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Manny | Last name of sampler or witnessed by | Vazquez |
| Title of sampler | Field Technician | Telephone number of sampler | |
| Laboratory sample identification | S091220-201 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Cemex San Juan Capistrano | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Retaining Wall 701 |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-36-0040::LYTLE CREEK |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Structural Concrete - Corrosive Environment | The fabricator/manufacturer designation for the sample | Mix |
| The plant number | 4488B | A detailed description of where the material sample was collected | Conveyor Belt |
| Where the material sample would have been placed if not sampled | retaining wall | Primary Aggregate Nominal Size | 1 inch |
| The concrete mix design number | 1514941 | Lot number | |
| Sublot number | Aggregate Mix Number | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| 2020-09-14-21-1 | CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness) | Ruben Jimenez, Sequoia Consultants | 09/14/2020 | Ken Mancebo | No | Info | ||
| 2020-09-14-21-2 | CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven Drying | Ruben Jimenez, Sequoia Consultants | 09/14/2020 | Ken Mancebo | No | Info | ||
| 2020-09-14-21-3 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | Ruben Jimenez, Sequoia Consultants | 09/14/2020 | Ken Mancebo | No | Info | ||
| 2020-09-14-21-4 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | Ruben Jimenez, Sequoia Consultants | 09/14/2020 | Ken Mancebo | No | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-09-14-21-1 CTM 227-December 2014
DIME Test ID: 2020-09-14-21-2 CTM 226-July 2010
DIME Test ID: 2020-09-14-21-3 CTM 202-November 2011
DIME Test ID: 2020-09-14-21-4 CTM 202-November 2011