Sample Record

Owner Lab

  • Sequoia Consultants

DIME Sample ID 2023-08-19-2

Project Information

Project IdentifiersProject ID: 214469
DEA: 030H08U4
EFIS: 0319000029
DIST-CO-RTE-PM03-SAC-50-L0.2/R6.1
Award Date06/30/2020
Closeout DateNot set
Work DescriptionSac 50 Design Build PLEASE NOTE THAT DESIGN BUILDER MUST PERFORM QUALITY VALIDATION TESTING IN ACCORDANCE WITH THE MATERIAL CONTROL SCHEDULE (MCS) FOR ITEMS SUCH AS STRANDS, HS BOLTS, ELASTOMERIC BEARING PADS, JOINT SEALANTS, COUPLERS & WELDED HOOPS, ETC
Location DescriptionFROM 0.1 MILE EAST OF I-5 TO 0.8 MILE EAST OF WATT AVE
QA Service Level1 (Verified on 10/23/2019)

Sample Information

Sample Taken Date08/19/2023 Sample Unique Key2
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 testing08/20/2023
Sample typeQuality Assurance A brief description of the sampleconcrete aggs
The quantity of what the sample constitutes0-420 Approximate CY From where was the sample collectedManufacturer
First name of sampler or witnessed byMatthew Last name of sampler or witnessed byMenning
Title of samplerMaterials Tester Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCemex Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameBR-11 Frame 4 Stem and Soffit

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-57-0008
The fabricator's/manufacturer's product name for the sampleCemex The fabricator/manufacturer designation for the sample1615776
The plant numberWest Sacramento A detailed description of where the material sample was collectedBatch Plant
Where the material sample would have been placed if not sampledFrame 4 Stem and Soffit Primary Aggregate Nominal Size1 inch
The concrete mix design number1615776 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
Test Summary for Concrete Aggregate - 1615776 - RC23-0162 - 081923pdf08/23/2023   Info

Test File Attachments