Sample Record

Owner Lab

  • Sequoia Consultants

DIME Sample ID 2022-06-18-10

Project Information

Project IdentifiersProject ID: 209698
DEA: 072332E4
EFIS: 0700000391
COOP: 0705187
DIST-CO-RTE-PM07-LA-I-5-45.4/54
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 Key10
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 testing06/18/2022
Sample typeQuality Control A brief description of the sample1x4 concrete aggregates
The quantity of what the sample constitutesTwo Bags From where was the sample collectedSource
First name of sampler or witnessed byDerek Last name of sampler or witnessed byBezotte
Title of samplerField Tester Telephone number of sampler
Laboratory sample identification 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 TypeAggregate Source Identification (SMARA, name of Pit or Job Site) 91-19-0046
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sampleS73C445T13
The plant number A detailed description of where the material sample was collectedstockpile
Where the material sample would have been placed if not sampledWeldon Canyon Bent 2 Columns Primary Aggregate Nominal Size1 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-06-18-10-1CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven DryingJoseph Lopez, Sequoia Consultants06/20/2022Jeff Roe
Yes
07/20/2022
2022-06-18-10-2CTM 217-June 2011: Method of Test for Sand EquivalentJoseph Lopez, Sequoia Consultants06/20/2022Jeff Roe
Yes
07/20/2022
2022-06-18-10-3CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Joseph Lopez, Sequoia Consultants06/20/2022Jeff Roe
Yes
07/20/2022
2022-06-18-10-4CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesJoseph Lopez, Sequoia Consultants06/20/2022Jeff Roe
Yes
07/20/2022

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-06-18-10-1 CTM 226-July 2010 (Verified)
DIME Test ID: 2022-06-18-10-2 CTM 217-June 2011 (Verified)
DIME Test ID: 2022-06-18-10-3 CTM 227-December 2014 (Verified)
DIME Test ID: 2022-06-18-10-4 CTM 202-November 2011 (Verified)