Sample Record

Owner Lab

  • Sequoia Consultants

DIME Sample ID 2021-07-26-3

Project Information

Project IdentifiersProject ID: 215050
DEA: 080R1424
EFIS: 0815000201
DIST-CO-RTE-PM08-SBD-40-R125.0/R154.6
Award Date08/26/2020
Closeout DateNot set
Work DescriptionROADWAY EXCAVATION, IMPORT BORROW AND REGRADE THE MEDIAN SLOPE.
Location DescriptionSAN BERNARDINO COUNTY FROM 4.5 MILES EAST OF HOMER WASH BRIDGE TO ARIZONA STATE LINE
QA Service Level1 (Verified on 06/23/2021)

Sample Information

Sample Taken Date07/26/2021 Sample Unique Key3
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 testing07/26/2021
Sample typeQuality Control A brief description of the sampleconcrete aggregate
The quantity of what the sample constitutes1 days placement From where was the sample collectedJob Site
First name of sampler or witnessed byADRIAN Last name of sampler or witnessed byPlentywounds
Title of samplerField Technician Telephone number of sampler
Laboratory sample identificationOR21-0588-072621 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCemex Bullhead City Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameDS106,107, 133,134 Headwall Footings

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)CM2056
The fabricator's/manufacturer's product name for the sampleStructural Concrete The fabricator/manufacturer designation for the sampleMix
The plant number1981 A detailed description of where the material sample was collectedConveyor Belt
Where the material sample would have been placed if not sampledHeadwall footings Primary Aggregate Nominal Size1 inch
The concrete mix design number1619144 Lot number
Sublot number HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-07-26-3-1CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven DryingRuben JimenezSequoia Consultants07/27/2021Ken Mancebo
No
Info
2021-07-26-3-2CTM 217-June 2011: Method of Test for Sand EquivalentRuben JimenezSequoia Consultants07/27/2021Ken Mancebo
No
Info
2021-07-26-3-3CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Ruben JimenezSequoia Consultants07/27/2021Ken Mancebo
No
Info
2021-07-26-3-4CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesRuben JimenezSequoia Consultants07/27/2021Ken Mancebo
No
Info
2021-07-26-3-5CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesRuben JimenezSequoia Consultants07/27/2021Ken Mancebo
No
Info