Sample Record
Owner Lab
- Sequoia Consultants
DIME Sample ID 2022-06-01-53
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 209698 DEA: 072332E4 EFIS: 0700000391 COOP: 0705187 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-I-5-45.4/54 |
| Award Date | 07/01/2021 |
| Closeout Date | Not set |
| Work Description | Addition 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 Description | The 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 Level | 2 (Verified on 02/03/2021) |
Sample Information
| Sample Taken Date | 06/01/2022 | Sample Unique Key | 53 |
|---|---|---|---|
| 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 testing | 06/02/2022 |
| Sample type | Quality Control | A brief description of the sample | Structural Concrete |
| The quantity of what the sample constitutes | 65 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Shiavhonne | Last name of sampler or witnessed by | Black |
| Title of sampler | Field Technician | Telephone number of sampler | 657-348-1102 |
| Laboratory sample identification | C060122-401 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | National Ready Mix Concrete Company | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 53-3095 | |
| Structure name | Weldon Canyon Bridge |
Material Information
| Material Type | Concrete | The concrete mix design number | S63C451T1 |
|---|---|---|---|
| The truck number from where the sample was collected | Load 1 | The batch plant ticket number from where the sample was collected | 267878 |
| Concrete batch plant | Santa Clarita | The fabricator/manufacturer designation for the sample | Batch plant |
| A detailed description of where the material sample was collected | Concrete from wheelbarrow | Where the material sample would have been placed if not sampled | Spread Footings |
| From Lot No. | Bag Lot No. |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-06-01-53-1 CTM 521-June 2020 (Verified)