Sample Record

Owner Lab

  • Sequoia Consultants

DIME Sample ID 2021-01-07-13

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 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 Date01/07/2021 Sample Unique Key13
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 testing01/08/2021
Sample typeQuality Control A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes100 cy From where was the sample collectedJob Site
First name of sampler or witnessed byScott Last name of sampler or witnessed byPowell
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 nameSanta Monica Creek Bridge Approach Slabs

Material Information

Material TypeConcrete The concrete mix design number72F1S0Z
The truck number from where the sample was collected3818 The batch plant ticket number from where the sample was collected545823
Concrete batch plantHanson Goleta The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedtruck chute Where the material sample would have been placed if not sampledSanta Monica Creek Bridge Approach Slabs
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-01-07-13-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersLeo Santamaria , Sequoia Consultants02/04/2021Leo Santamaria
Yes
02/05/2021

Sample File Attachments

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Test File Attachments


DIME Test ID: 2021-01-07-13-1 CTM 521-June 2020 (Verified)