Sample Record
Owner Lab
- Sequoia Consultants
DIME Sample ID 2024-02-16-37
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993551 DEA: 07279124 EFIS: 0715000076 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-57-60-R4.3/R4.5 |
| Award Date | 01/12/2023 |
| Closeout Date | Not set |
| Work Description | STATE ROUTE 57 and 60 HIGHWAYS CONFLUENCE CHOKEPOINT RELIEF PROJECT PHASE II |
| Location Description | CITY of DIAMOND BAR and CITY of INDUSTRY LOS ANGELES COUNTY, CALIFORNIA |
| QA Service Level | 2 (Verified on 02/04/2022) |
Sample Information
| Sample Taken Date | 02/16/2024 | Sample Unique Key | 37 |
|---|---|---|---|
| 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 | 02/17/2024 |
| 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 | William | Last name of sampler or witnessed by | Spigner |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Robertson 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 | 5264125A |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 762378 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Retaining Wall 370 Footing 12+40 | 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 |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-02-16-37-1 CTM 521-June 2020 (Verified)