Sample Record
Owner Lab
- Sequoia Consultants
DIME Sample ID 2022-09-07-95
Project Information
Project Identifiers | Project ID: 993616 DEA: 07357204 EFIS: 0719000061 COOP: 075210 |
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DIST-CO-RTE-PM | 07-LA-210-20.7/21.7 |
Award Date | 01/25/2022 |
Closeout Date | Not set |
Work Description | The City of La Canada Flintridge, in partnership with Caltrans, is preparing to construct three sound wall segments, S311, S335, and S336, along the Interstate 210 (I-210). |
Location Description | The City of La Canada Flintridge, in partnership with Caltrans, is preparing to construct three sound wall segments, S311, S335, and S336, along the Interstate 210 (I-210). |
QA Service Level | 2 (Verified on 03/02/2022) |
Sample Information
Sample Taken Date | 09/07/2022 | Sample Unique Key | 95 |
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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 | 09/08/2022 |
Sample type | Quality Control | A brief description of the sample | structural concrete |
The quantity of what the sample constitutes | 1 per shift | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Zacarias | Last name of sampler or witnessed by | Flores |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | National Ready Mix | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | S75207 |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 301952 | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | wheelbarrow | Where the material sample would have been placed if not sampled | |
From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2022-09-07-95-1 CTM 521-June 2020 (Verified)