Sample Record

Owner Lab

  • Sequoia Consultants

DIME Sample ID 2022-03-15-33

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 DescriptionConstruct 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 Date03/15/2022 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 testing03/16/2022
Sample typeQuality Control A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes1 per 100 cy From where was the sample collectedSource
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 nameMartin Marrieta Goleta Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameRW 12 Footing

Material Information

Material TypeConcrete The concrete mix design number725A1Z0P
The truck number from where the sample was collected514D The batch plant ticket number from where the sample was collected552212
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedCHUTE FROM TRUCK 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
2022-03-15-33-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersJulio LugoSequoia Consultants04/12/2022Ruben Jimenez
Yes
04/21/2022

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-03-15-33-1 CTM 521-June 2020 (Verified)