Sample Record

Owner Lab

  • Sequoia Consultant

DIME Sample ID 2021-02-25-13

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 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 Date02/25/2021 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 testing02/26/2021
Sample typeQuality Control A brief description of the sample1 X 4 Concrete Aggregate
The quantity of what the sample constitutes100 cy From where was the sample collectedSource
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 nameDS 4 Headwall

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 of Coarse and Fine Aggregate at Source
Where the material sample would have been placed if not sampledDS 4 Headwall 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
2021-02-25-13-1CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven DryingLeo Santamaria Sequoia Consultant02/26/2021Leo Santamaria
Yes
03/08/2021
2021-02-25-13-2CTM 217-June 2011: Method of Test for Sand EquivalentLeo Santamaria Sequoia Consultant02/26/2021Leo Santamaria
Yes
03/08/2021
2021-02-25-13-3CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesLeo Santamaria Sequoia Consultant02/26/2021Leo Santamaria
Yes
03/08/2021
2021-02-25-13-4CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesLeo Santamaria Sequoia Consultant02/26/2021Leo Santamaria
Yes
03/08/2021
2021-02-25-13-5CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Leo Santamaria Sequoia Consultant02/26/2021Leo Santamaria
Yes
03/08/2021