Sample Record

Owner Lab

  • Sequoia Consultants

DIME Sample ID 2021-11-09-43

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215753
DEA: 050N72U4
EFIS: 0520000169
DIST-CO-RTE-PM05-SB-101-4.4/R7.7
Award Date03/01/2021
Closeout DateNot set
Work DescriptionPlease cc Office Engineer Ni Nyoman Paul on reports sent to RE and SR. Construct High Occupancy Vehicle (HOV) lanes on U.S. Route 101 and rehabilitation - Segment 4B.
Location Description101 freeway in Summerland, CA
QA Service Level1 (Verified on 05/06/2021)

Sample Information

Sample Taken Date11/09/2021 Sample Unique Key43
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 testing11/09/2021
Sample typeQuality Control A brief description of the sampleCT 675C+F25% 1" PG HR/HS/SRA0
The quantity of what the sample constitutes4 cylinders From where was the sample collectedJob Site
First name of sampler or witnessed byTim Last name of sampler or witnessed byReyes
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 collected550803
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedHWY 101 Toro Canyon, Toro Creek Bridge Deck 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
2021-11-09-43-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersTim Reyes, Sequoia Consultants11/09/2021Alexandria Oser
Yes
12/22/2021

Sample File Attachments

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Test File Attachments


DIME Test ID: 2021-11-09-43-1 CTM 521-June 2020 (Verified)