Sample Record
Owner Lab
- Sequoia Consultants
DIME Sample ID 2020-11-13-15
Project Information
Project Identifiers | Project ID: 214756 DEA: 050N7AU4 EFIS: 0520000030 |
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DIST-CO-RTE-PM | 05-SB-101-1.4/4.8 |
Award Date | Not set |
Closeout Date | 09/27/2022 |
Work Description | Segment 4A - Carpinteria: Construct HOV lanes and rehabilitation. Source inspection of sign structure trusses, lighting structures, epoxy coated rebar, precast box culverts, precast RCP. |
Location Description | CARPINTERIA FROM 0.2 MILE SOUTH OF BAILARD AVENUE OVERCROSSING TO 0.7 MILE SOUTH OF SOUTH PADARO LANE |
QA Service Level | 1 (Verified on 03/09/2020) |
Sample Information
Sample Taken Date | 11/13/2020 | Sample Unique Key | 15 |
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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 | 11/14/2020 |
Sample type | Quality Control | A brief description of the sample | Two 6 X 12 Concrete Cylinders |
The quantity of what the sample constitutes | 100 cy | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Isidro | Last name of sampler or witnessed by | Buenrostro |
Title of sampler | QC Technician | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Hanson - Goleta | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name | OH sign 10 |
Material Information
Material Type | Concrete | The concrete mix design number | 63511N0P |
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The truck number from where the sample was collected | 514D | The batch plant ticket number from where the sample was collected | 545031 |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | Chute discharge into wheel barrel | Where the material sample would have been placed if not sampled | OH sign 10 |
From Lot No. | Bag Lot No. |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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2020-11-13-15-1 | CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders | Leo Santamaria , Sequoia Consultants | 12/11/2020 | Leo Santamaria | No | Info |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2020-11-13-15-1 CTM 521-June 2020