Sample Record
Owner Lab
- Sequoia Consultants
DIME Sample ID 2021-02-01-35
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214909 DEA: 120N8604 EFIS: 1214000123 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-73-23.7/24.1 |
| Award Date | 06/25/2020 |
| Closeout Date | 01/09/2023 |
| Work Description | REPLACE STRUCTURAL CONCRETE BRIDGE & RETAINING WALL; & PLACE HMA. |
| Location Description | ORANGE COUNTY IN NEWPORT BEACH FROM 0.3 MILE NORTH OF BISON AVENUE TO 0.3 MILE SOUTH OF UNIVERSITY DRIVE |
| QA Service Level | 1 (Verified on 07/21/2020) |
Sample Information
| Sample Taken Date | 02/01/2021 | Sample Unique Key | 35 |
|---|---|---|---|
| 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 testing | 02/02/2021 |
| Sample type | Quality Control | A brief description of the sample | structural concrete |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Derek Bezotte | Last name of sampler or witnessed by | Derek Bezotte |
| Title of sampler | Mr | Telephone number of sampler | 7149746316 |
| Laboratory sample identification | C020121-101 | Linked DIME Sample ID | - |
| The fabricator/manufacturer/facility name | Cemex | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 12-0N8604 | |
| Structure name | Retaining Wall 350 |
Material Information
| Material Type | Concrete | The concrete mix design number | 1614705 |
|---|---|---|---|
| The truck number from where the sample was collected | 10070515 | The batch plant ticket number from where the sample was collected | 29455279 |
| Concrete batch plant | irvine | The fabricator/manufacturer designation for the sample | Mix |
| A detailed description of where the material sample was collected | Onsite | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| 2021-02-01-35-1 | CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders | shamila Ranjan, Sequoia Consultants | 03/01/2021 | shamila Ranjan | No | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-02-01-35-1 CTM 521-June 2020