Sample Record
Owner Lab
- Sequoia Consultants
DIME Sample ID 2022-07-27-73
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214892 DEA: 06442554 EFIS: 0612000176 COOP: 061699 |
|---|---|
| DIST-CO-RTE-PM | 06-KER-46-29.7/31.9 |
| Award Date | 01/08/2021 |
| Closeout Date | Not set |
| Work Description | CONVERT 2-LANE TO 4-LANE HMA PAVEMENT AND CONSTRUCT NEW BRIDGE. |
| Location Description | KERN COUNTY AT AND NEAR LOST HILLS FROM 0.2 MILE WEST OF CALIFORNIA AQUEDUCT BRIDGE TO 1.4 MILES EAST OF LOST HILLS ROAD |
| QA Service Level | 1 (Verified on 06/17/2020) |
Sample Information
| Sample Taken Date | 07/27/2022 | Sample Unique Key | 73 |
|---|---|---|---|
| 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 | 07/27/2022 |
| Sample type | Quality Control | A brief description of the sample | 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 | Derek | Last name of sampler or witnessed by | Bezotte |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | George L Throop Pasadena | 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 | K6080-603 Cpa |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 3 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | PSPC Wide Flange Girder | 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: 2022-07-27-73-1 CTM 521-June 2012 (Verified)