Sample Record

Owner Lab

  • Sequoia Consultants

DIME Sample ID 2024-06-20-163

Project Information

Project IdentifiersProject ID: 994443
DEA: 053307C4
EFIS: 0514000028
DIST-CO-RTE-PM05-SLO-41,46-44.5/45.3,54.0/57.8
Award Date02/27/2023
Closeout DateNot set
Work DescriptionWye Segment - Route 41/46 Separation
Location DescriptionNot set
QA Service Level1 (Verified on 12/16/2022)

Sample Information

Sample Taken Date06/20/2024 Sample Unique Key163
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 testing06/21/2024
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 byJoel Last name of sampler or witnessed byDasaro
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameN/A 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 number635D4NOP
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected41167
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedDS 7 headwall f & I and DS box f 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
2024-06-20-163-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersJorge reyes, Sequoia Consultants07/18/2024Cassidy Pham
Yes
07/18/2024

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2024-06-20-163-1 CTM 521-June 2020 (Verified)