Sample Record

Owner Lab

  • Sequoia Consultant

DIME Sample ID 2020-11-17-12

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214756
DEA: 050N7AU4
EFIS: 0520000030
DIST-CO-RTE-PM05-SB-101-1.4/4.8
Award DateNot set
Closeout DateNot set
Work DescriptionSegment 4A - Carpinteria: Construct HOV lanes and rehabilitation. Source inspection of sign structure trusses, lighting structures, epoxy coated rebar, precast box culverts, precast RCP.
Location DescriptionCARPINTERIA FROM 0.2 MILE SOUTH OF BAILARD AVENUE OVERCROSSING TO 0.7 MILE SOUTH OF SOUTH PADARO LANE
QA Service Level1 (Verified on 03/09/2020)

Sample Information

Sample Taken Date11/17/2020 Sample Unique Key12
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 testing11/18/2020
Sample typeQuality Control A brief description of the sampleConcrete Aggregates
The quantity of what the sample constitutes3 bags From where was the sample collectedSource
First name of sampler or witnessed byAdrian Last name of sampler or witnessed byPlentywounds
Title of samplerQC Technician Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameHanson - Santa Barbra Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameOH Sign Foundation 10

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-42-0003
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedbelt cut
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design number63511N0P Lot number
Sublot number HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-11-17-12-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesLeo Santamaria Sequoia Consultant11/18/2020Leo Santamaria
Yes
11/20/2020
2020-11-17-12-2CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesLeo Santamaria Sequoia Consultant11/18/2020Leo Santamaria
Yes
11/20/2020
2020-11-17-12-3CTM 217-June 2011: Method of Test for Sand EquivalentLeo Santamaria Sequoia Consultant11/18/2020Leo Santamaria
Yes
11/20/2020
2020-11-17-12-4CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven DryingLeo Santamaria Sequoia Consultant11/18/2020Leo Santamaria
Yes
11/20/2020
2020-11-17-12-5CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Leo Santamaria Sequoia Consultant11/18/2020Leo Santamaria
Yes
11/20/2020