Sample Record

Owner Lab

  • Sequoia Consultants

DIME Sample ID 2021-03-09-13

Project Information

Project IdentifiersProject ID: 214355
DEA: 120K0214
EFIS: 1214000096
DIST-CO-RTE-PM12-ORA-5-12.4/14.5
Award Date12/20/2019
Closeout DateNot set
Work DescriptionSouth County Improvement Project (Phase 1 - Avery/Crown Valley) PLACE HMA, INSTALL CONC PAVEMENT, RETAIN WALL, MODIFY ELECT SYS. | Add one lane btwn 73 & Oso PKWY
Location DescriptionORANGE COUNTY IN SAN JUAN CAPISTRANO, LAGUNA HILLS, LAGUNA NIGUEL AND MISSION VIEJO FROM 0.5 MILE SOUTH OF AVERY PARKWAY UNDERCROSSING TO 0.8 MILE NORTH OF CROWN VALLEY PARKWAY OVERCROSSING
QA Service Level1 (Verified on 10/31/2019)

Sample Information

Sample Taken Date03/09/2021 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 testing03/10/2021
Sample typeQuality Control A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes100CY From where was the sample collectedJob Site
First name of sampler or witnessed byJason Last name of sampler or witnessed byMaynes
Title of samplerField Technician Telephone number of sampler
Laboratory sample identificationC030921-102 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCemex San Juan Capistrano Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameAvery Parkway Bridge Bent 2R

Material Information

Material TypeConcrete The concrete mix design number1610974
The truck number from where the sample was collected10067288 The batch plant ticket number from where the sample was collected29518752
Concrete batch plantCemex San Juan Capistrano The fabricator/manufacturer designation for the sampleMix
A detailed description of where the material sample was collectedDischarge chute from back of truck Where the material sample would have been placed if not sampledAvery Parkway Bent 2R Seal Slab
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-03-09-13-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersRuben Jimenez, Sequoia Consultants03/16/2021Ken Mancebo
No
Info

Sample File Attachments

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Test File Attachments


DIME Test ID: 2021-03-09-13-1 CTM 521-June 2020