Sample Record
Owner Lab
- Sequoia Consultants
DIME Sample ID 2022-10-29-10
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993287 DEA: 112T35U4 EFIS: 1121000195 |
|---|---|
| DIST-CO-RTE-PM | 11-SD-5-R37.4/R52.6 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | CMSTPL-6211(148) I-5 N Coast Corridor HOV Extension Carlsbad |
| Location Description | IN SAN DIEGO COUNTY AT VARIOUS LOCATIONS FROM LOMAS SANTA FE DRIVE UNDERCROSSING TO 0.2 MILES NORTH OF OCEANSIDE BOULEVARD UNDERCROSSING |
| QA Service Level | 1 (Verified on 09/23/2021) |
Sample Information
| Sample Taken Date | 10/29/2022 | Sample Unique Key | 10 |
|---|---|---|---|
| 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 | 10/30/2022 |
| Sample type | Quality Control | A brief description of the sample | Structural Concrete |
| The quantity of what the sample constitutes | 2 cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Rodrigo | Last name of sampler or witnessed by | Lupian |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Cal portland | 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 | 0038621 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 105508 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | SB Approach Departure SB AHL Approach Departure SB Chestnu | 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: 2022-10-29-10-1 CTM 521-June 2020 (Verified)