Sample Record

Owner Lab

  • Sequoia Consultants

DIME Sample ID 2023-05-17-128

Project Information

Project IdentifiersProject ID: 994093
DEA: 07342804
EFIS: 0717000331
DIST-CO-RTE-PM07-LA-14-R27.0/R28.1
Award Date09/21/2022
Closeout Date09/24/2024
Work DescriptionCONSTRUCT CATCHMENT WALL, ROCK SCALING AND CONCRETE BARRIER.
Location DescriptionLOS ANGELES COUNTY IN SANTA CLARITA FROM THE NEWHALL AVENUE UNDERCROSSING TO 0.1 MILE SOUTH OF PLACERITA CANYON ROAD UNDERCROSSING
QA Service Level1 (Verified on 09/20/2022)

Sample Information

Sample Taken Date05/17/2023 Sample Unique Key128
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 testing06/14/2023
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 byAdrien Last name of sampler or witnessed byMireles
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameNational RM 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 numberS63C653T1
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected278152
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedWall 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

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-05-17-128-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersEddie Mendez, Sequoia Consultants06/14/2023Erick Menjivar
Yes
10/20/2023

Sample File Attachments

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Test File Attachments


DIME Test ID: 2023-05-17-128-1 CTM 521-June 2020 (Verified)