Sample Record

Owner Lab

  • Sequoia Consultants

DIME Sample ID 2022-05-13-42

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 Date05/13/2022 Sample Unique Key42
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 testing05/14/2022
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 byRobert Last name of sampler or witnessed byCota
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameMartin Marietta Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameRetaining Wall 106

Material Information

Material TypeConcrete The concrete mix design number63511N0P
The truck number from where the sample was collected089 The batch plant ticket number from where the sample was collected343220
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
2022-05-13-42-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersJulio LugoSequoia Consultants06/10/2022Ruben Jimenez
Yes
06/27/2022

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2022-05-13-42-1 CTM 521-June 2020 (Verified)