Sample Record

Owner Lab

  • Sequoia Consultants

DIME Sample ID 2023-04-25-104

Project Information

Project IdentifiersProject ID: 215697
DEA: 07318204
EFIS: 0715000286
DIST-CO-RTE-PM07-LA-Route 1-4.0/4.2
Award DateNot set
Closeout DateNot set
Work DescriptionCM/GC Project - Work consists of constructing secant wall and slope restoration
Location Descriptionnear Point Mugu State Park 0.4 mile South of Sycamore Canyon Road.
QA Service Level1 (Verified on 08/26/2021)

Sample Information

Sample Taken Date04/25/2023 Sample Unique Key104
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 testing04/26/2023
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 byRobert Last name of sampler or witnessed byCota
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameStructural Concrete 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 numberSL4K455WHP
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected6123950
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collected85S 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
2023-04-25-104-1ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensAxel Ortega , Sequoia Consultants05/23/2023Erick Menjivar
Yes
06/28/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-04-25-104-1 ASTM C39-18 (Verified)