Sample Record

Owner Lab

  • Sequoia Consultants

DIME Sample ID 2022-10-13-71

Project Information

Project IdentifiersProject ID: 209698
DEA: 072332E4
EFIS: 0700000391
COOP: 0705187
DIST-CO-RTE-PM07-LA-I-5-45.4/54
Award Date07/01/2021
Closeout DateNot set
Work DescriptionAddition 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 DescriptionThe 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 Level2 (Verified on 02/03/2021)

Sample Information

Sample Taken Date10/13/2022 Sample Unique Key71
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 testing10/14/2022
Sample typeQuality Control A brief description of the sampleStructural Concrete
The quantity of what the sample constitutes2 cylinders From where was the sample collectedJob Site
First name of sampler or witnessed byRandy Last name of sampler or witnessed byBlack
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameNational Ready Mix 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 numberS63C451T1
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected271988
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedRW 2622 sta 12 plus 45 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
2022-10-13-71-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersCarlos Nunez, Sequoia Consultants11/10/2022Erick Menjivar
Yes
01/24/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-10-13-71-1 CTM 521-June 2020 (Verified)