Sample Record
Owner Lab
- Sequoia Consultants
DIME Sample ID 2022-08-31-59
Project Information
Project Identifiers | Project ID: 209698 DEA: 072332E4 EFIS: 0700000391 COOP: 0705187 |
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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 | 08/31/2022 | Sample Unique Key | 59 |
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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 | 09/01/2022 |
Sample type | Quality Control | A brief description of the sample | structural concrete |
The quantity of what the sample constitutes | 20 cy | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Jose | Last name of sampler or witnessed by | Tellez |
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 | S63C451T1 |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 270715 | |
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
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |