Sample Record

Owner Lab

  • Sequoia Consultant

DIME Sample ID 2021-02-16-30

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 Date02/16/2021 Sample Unique Key30
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 testing02/17/2021
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 nameOH Sign Footing 11-1

Material Information

Material TypeConcrete The concrete mix design number63511N0P
The truck number from where the sample was collected552 The batch plant ticket number from where the sample was collected546409
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 sampledOH Sign Footing 11 1
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-02-16-30-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersLeo Santamaria Sequoia Consultant03/16/2021Leo Santamaria
Yes
03/16/2021