Sample Record

Owner Lab

  • Sequoia Consultants

DIME Sample ID 2022-06-01-53

Project Information

Project IdentifiersProject ID: 209698
DEA: 072332E4
EFIS: 0700000391
COOP: 0705187
DIST-CO-RTE-PM07-LA-I-5-45.4/54
Award DateNot set
Closeout DateNot set
Work DescriptionAddition of 14 miles of HOV lanes in both directions would extend existing carpool lanes on the I- 5 in San Fernando Valley to Santa Clarita Valley
Location DescriptionThe I-5 North Capacity Enhancements Project focuses on improvements to the I-5 freeway from cities of Santa Clarita and Castaic, beginning at the SR-14 interchange to Parker Rd.
QA Service Level2 (Verified on 02/03/2021)

Sample Information

Sample Taken Date06/01/2022 Sample Unique Key53
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 testing06/02/2022
Sample typeQuality Control A brief description of the sampleStructural Concrete
The quantity of what the sample constitutes65 CY From where was the sample collectedJob Site
First name of sampler or witnessed byShiavhonne Last name of sampler or witnessed byBlack
Title of samplerField Technician Telephone number of sampler657-348-1102
Laboratory sample identificationC060122-401 Linked DIME Sample ID
The fabricator/manufacturer/facility nameNational Ready Mix Concrete Company Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier53-3095
Structure nameWeldon Canyon Bridge

Material Information

Material TypeConcrete The concrete mix design numberS63C451T1
The truck number from where the sample was collectedLoad 1 The batch plant ticket number from where the sample was collected267878
Concrete batch plantSanta Clarita The fabricator/manufacturer designation for the sampleBatch plant
A detailed description of where the material sample was collectedConcrete from wheelbarrow Where the material sample would have been placed if not sampledSpread Footings
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-06-01-53-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersJulio LugoSequoia Consultants06/29/2022Jeff Roe
Yes
07/13/2022

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-06-01-53-1 CTM 521-June 2020 (Verified)