Sample Record
Owner Lab
- Sequoia Consultants
DIME Sample ID 2022-09-22-67
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 215697 DEA: 07318204 EFIS: 0715000286 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-Route 1-4.0/4.2 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | CM/GC Project - Work consists of constructing secant wall and slope restoration |
| Location Description | near Point Mugu State Park 0.4 mile South of Sycamore Canyon Road. |
| QA Service Level | 1 (Verified on 08/26/2021) |
Sample Information
| Sample Taken Date | 09/22/2022 | Sample Unique Key | 67 |
|---|---|---|---|
| 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 | 09/22/2022 |
| 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 | Jerome | Last name of sampler or witnessed by | Ayers |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | A&A 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 | SL4K475WHU |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 6120133 | |
| 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 |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-09-22-67-1 CTM 521-June 2020 (Verified)