Sample Record
Owner Lab
- Sequoia Consultants
DIME Sample ID 2023-05-17-128
Project Information
Project Identifiers | Project ID: 994093 DEA: 07342804 EFIS: 0717000331 |
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DIST-CO-RTE-PM | 07-LA-14-R27.0/R28.1 |
Award Date | 09/21/2022 |
Closeout Date | 09/24/2024 |
Work Description | CONSTRUCT CATCHMENT WALL, ROCK SCALING AND CONCRETE BARRIER. |
Location Description | LOS ANGELES COUNTY IN SANTA CLARITA FROM THE NEWHALL AVENUE UNDERCROSSING TO 0.1 MILE SOUTH OF PLACERITA CANYON ROAD UNDERCROSSING |
QA Service Level | 1 (Verified on 09/20/2022) |
Sample Information
Sample Taken Date | 05/17/2023 | Sample Unique Key | 128 |
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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 | 06/14/2023 |
Sample type | Quality Control | A brief description of the sample | Structural 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 | Adrien | Last name of sampler or witnessed by | Mireles |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | National RM | 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 | S63C653T1 |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 278152 | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | Wall 1470 Soldier Pile Beams at Station 1468plus11 | 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 |
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No results found. |
Test File Attachments
DIME Test ID: 2023-05-17-128-1 CTM 521-June 2020 (Verified)