Sample Record

Owner Lab

  • Sequoia Consultants

DIME Sample ID 2022-11-05-21

Project Information

Project IdentifiersProject ID: 215753
DEA: 050N72U4
EFIS: 0520000169
DIST-CO-RTE-PM05-SB-101-4.4/R7.7
Award Date03/01/2021
Closeout DateNot set
Work DescriptionPlease cc Office Engineer Ni Nyoman Paul on reports sent to RE and SR. Construct High Occupancy Vehicle (HOV) lanes on U.S. Route 101 and rehabilitation - Segment 4B.
Location Description101 freeway in Summerland, CA
QA Service Level1 (Verified on 05/06/2021)

Sample Information

Sample Taken Date11/05/2022 Sample Unique Key21
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 testing11/06/2022
Sample typeQuality Control A brief description of the sampleconcrete
The quantity of what the sample constitutes2 cylinders From where was the sample collectedJob Site
First name of sampler or witnessed byTim Last name of sampler or witnessed byReyes
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameMartin Marietta Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design number63511N0P
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected3432195
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedSB 101,Toro Creek Bridge Support Slabs NORTH SLAB Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-11-05-21-1ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensCarlos Nunez, Sequoia Consultants12/17/2022Erick Menjivar
Yes
12/22/2022

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-11-05-21-1 ASTM C39-18 (Verified)