Sample Record

Owner Lab

  • Sequoia Consultant

DIME Sample ID 2021-06-11-34

Project Information

Project IdentifiersProject ID: 215299
DEA: 07260804
EFIS: 0712000104
DIST-CO-RTE-PM07-LA-10,405-16.6/30.1,4.8/8.7
Award Date01/29/2021
Closeout DateNot set
Work DescriptionCONSTRUCT GROSS SOLIDS REMOVAL DEVICES, BIOSWALES AND MEDIA FILTERS.
Location DescriptionLOS ANGELES COUNTY AT VARIOUS LOCATIONS ON ROUTE 10 0.1 MILE WEST OF SANTA FE AVENUE TO 0.2 MILE WEST OF COGSWELL ROAD UNDERCROSSING AND ON ROUTE 405 0.1 MILE EAST OF CHEERY AVENUE OVERCROSSING TO 0.1 MILE WEST OF SOUTH ALAMEDA STREET UNDERCROSSING
QA Service Level1 (Verified on 04/05/2021)

Sample Information

Sample Taken Date06/11/2021 Sample Unique Key34
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 testing06/12/2021
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 byJosh Last name of sampler or witnessed byHua
Title of samplerField Technician Telephone number of sampler
Laboratory sample identificationC061121-100 Linked DIME Sample ID
The fabricator/manufacturer/facility nameAssociated Ready Mix - Los Angeles Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameAustin Vault footing and floor

Material Information

Material TypeConcrete The concrete mix design number557237
The truck number from where the sample was collected0468 The batch plant ticket number from where the sample was collected50408073
Concrete batch plantAssociated RMC Los Angeles 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 sampledfooting and floor
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-06-11-34-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersRuben JimenezSequoia Consultant07/09/2021Ken Mancebo
No
Info