Sample Record

Owner Lab

  • Sequoia Consultants

DIME Sample ID 2021-08-06-33

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214756
DEA: 050N7AU4
EFIS: 0520000030
DIST-CO-RTE-PM05-SB-101-1.4/4.8
Award DateNot set
Closeout Date09/27/2022
Work DescriptionSegment 4A - Carpinteria: Construct HOV lanes and rehabilitation. Source inspection of sign structure trusses, lighting structures, epoxy coated rebar, precast box culverts, precast RCP.
Location DescriptionCARPINTERIA FROM 0.2 MILE SOUTH OF BAILARD AVENUE OVERCROSSING TO 0.7 MILE SOUTH OF SOUTH PADARO LANE
QA Service Level1 (Verified on 03/09/2020)

Sample Information

Sample Taken Date08/06/2021 Sample Unique Key33
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 testing09/03/2021
Sample typeQuality Control A brief description of the samplePCC
The quantity of what the sample constitutes3 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 number63511N0P
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected549138
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedNB 101 at Retaining Wall 2B in Segment 4A Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-08-06-33-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersJulio Lugo, Sequoia Consultants09/03/2021Alexandria Oser
Yes
09/13/2021

Sample File Attachments

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Test File Attachments


DIME Test ID: 2021-08-06-33-1 CTM 521-June 2020 (Verified)