Sample Record

Owner Lab

  • Sequoia Consultants

DIME Sample ID 2022-06-18-9

Project Information

Project IdentifiersProject ID: 209698
DEA: 072332E4
EFIS: 0700000391
COOP: 0705187
Award Date07/01/2021
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 Date06/18/2022 Sample Unique Key9
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 testing06/20/2022
Sample typeQuality Control A brief description of the sampleCIP
The quantity of what the sample constitutes26 CY From where was the sample collectedJob Site
First name of sampler or witnessed byDerek Last name of sampler or witnessed byBezotte
Title of samplerField Tester Telephone number of sampler
Laboratory sample identificationC061822-401 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 numberS73C445T13
The truck number from where the sample was collected20159 The batch plant ticket number from where the sample was collected268604
Concrete batch plantSanta Clarita The fabricator/manufacturer designation for the sampleMix
A detailed description of where the material sample was collectedwheelbarrow Where the material sample would have been placed if not sampledWeldon Canyon Bent 2 Columns
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-06-18-9-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensJulio Lugo, Sequoia Consultants07/16/2022Jeff Roe

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments

DIME Test ID: 2022-06-18-9-1 ASTM C39-17a (Verified)