Sample Record
Owner Lab
- Sequoia Consultants
DIME Sample ID 2021-06-04-13
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Project Information
| Project Identifiers | Project ID: 215257 DEA: 11056374 EFIS: 1117000087 |
|---|---|
| DIST-CO-RTE-PM | 11-SD-11-0.6/2.7 |
| Award Date | 02/16/2021 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT INTERCHANGE, PLACE JPCP, HMA, AND INSTALL LIGHTING. |
| Location Description | SAN DIEGO COUNTY NEAR SAN DIEGO FROM 0.2 MILE WEST OF SANYO AVENUE UNDERCROSSING TO 1.2 MILE EAST OF ENRICO FERMI DRIVE OVERCROSSING |
| QA Service Level | 1 (Verified on 11/25/2020) |
Sample Information
| Sample Taken Date | 06/04/2021 | Sample Unique Key | 13 |
|---|---|---|---|
| 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 | 06/04/2021 |
| Sample type | Quality Control | A brief description of the sample | CIP Concrete |
| The quantity of what the sample constitutes | 55 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Rodrigo | Last name of sampler or witnessed by | Lupian |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Robertsons Otay Plant | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | RRM20045 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 6148323 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Wheelbarrow from concrete truck | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-06-04-13-1 CTM 521-June 2020 (Verified)