Sample Record

Owner Lab

  • Sequoia Consultants

DIME Sample ID 2020-11-13-15

Project Information

Project IdentifiersProject ID: 214756
DEA: 050N7AU4
EFIS: 0520000030
DIST-CO-RTE-PM05-SB-101-1.4/4.8
Award DateNot set
Closeout Date09/27/2022
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 Date11/13/2020 Sample Unique Key15
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 testing11/14/2020
Sample typeQuality Control A brief description of the sampleTwo 6 X 12 Concrete Cylinders
The quantity of what the sample constitutes100 cy From where was the sample collectedJob Site
First name of sampler or witnessed byIsidro Last name of sampler or witnessed byBuenrostro
Title of samplerQC Technician Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameHanson - Goleta Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameOH sign 10

Material Information

Material TypeConcrete The concrete mix design number63511N0P
The truck number from where the sample was collected514D The batch plant ticket number from where the sample was collected545031
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedChute discharge into wheel barrel Where the material sample would have been placed if not sampledOH sign 10
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-11-13-15-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersLeo Santamaria Sequoia Consultants12/11/2020Leo Santamaria
No
Info

Sample File Attachments

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Test File Attachments


DIME Test ID: 2020-11-13-15-1 CTM 521-June 2020