Sample Record

Owner Lab

  • Sequoia Consultants

DIME Sample ID 2021-07-29-45

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215129
DEA: 050N73U4
EFIS: 0520000166
DIST-CO-RTE-PM05-SB-101-7.3/9.6
Award Date10/23/2020
Closeout DateNot set
Work DescriptionSegment 4C - Summerland: Construct HOV lanes and rehabilitation. Source inspection of sign structure trusses, lighting structures, steel soldier piles, epoxy coated rebar, headed rebar, welded hoops, column pins.
Location DescriptionSUMMERLAND FROM 0.2 MILES NORTH OF PARDARO LANE OVERCROSSING TO SAN YSIDRO CREEK BRIDGE
QA Service Level1 (Verified on 08/24/2020)

Sample Information

Sample Taken Date07/29/2021 Sample Unique Key45
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 testing08/26/2021
Sample typeQuality Control A brief description of the samplePCC
The quantity of what the sample constitutes6 cylinders From where was the sample collectedJob Site
First name of sampler or witnessed byErroll Last name of sampler or witnessed byBenton
Title of sampler 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 name

Material Information

Material TypeConcrete The concrete mix design number72F1S0Z
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected549013
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collected101-fwy SB Lane 1, Sheffiels Departing Slab Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-07-29-45-1CTM 521-June 2012: Method of Test for Compressive Strength of Molded Concrete CylindersJulio LugoSequoia Consultants08/26/2021Alexandria Oser
Yes
09/13/2021

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2021-07-29-45-1 CTM 521-June 2012 (Verified)