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Sample Record for 2023-01-25-65

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 993529 DEA: 11430514 EFIS: 1119000008 QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-15-R31.3/R37.1
Work Description: CRCP, FIBER OPTIC CABLE, AND HMA.
Location Description: SAN DIEGO COUNTY IN AND NEAR ESCONDIDO FROM 0.2 MILE SOUTH OF ROUTE 15/78 SEPARATION TO 0.5 MILE NORTH OF DEER SPRINGS ROAD OVERCROSSING
Contractor Name: Security Paving Company, Inc.
Contractor Address: 13170 Telfair Ave, Sylmar, CA 91342
Resident Engineer: Jason Alsheikh Structure Rep.: Tan Cao

Sample Information

DIME Sample ID: 2023-01-25-65
TL Number from the TL Form:
Sample Submitted By Organization: G3 Quality, Incorporated - Cerritos
Sample Organization Contact: (562) 321-9840
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 01/25/2023
Date that the sample was received by the laboratory/organization performing the testing: 01/26/2023
The quantity of what the sample constitutes: 2
A brief description of the sample: 4x8 concrete cylinders
From where was the sample collected: Source
Laboratory sample identification: RD2271-CA-120
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Security Paving

Material Information

The concrete mix design number: G3-22-PCC-328HP
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 0
Concrete batch plant: Security Paving
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Onsite Batch Plant
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2023-01-25-65-1
Test Method: AASHTO T336-15: Standard Method of Test for Coefficient of Thermal Expansion of Hydraulic Cement Concrete
Verified Date: 06/10/2025
Date Tested: 03/08/2023
Submitted By Organization: G3 Quality, Incorporated - Cerritos
Organization Address: 13850 Cerritos Corporate Drive, Unit E,
Organization City: Cerritos
Organization State: CA
Organization Zipcode: 90703
Organization Email: hwalker@g3quality.com
Organization Phone: 562-321-9853
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Average CTE 0.000008902 mm/mm/°C
Average CTE 4.945E-6 in/in/°F

Test 2 of 2

DIME Test ID: 2023-01-25-65-2
Test Method: AASHTO T336-15: Standard Method of Test for Coefficient of Thermal Expansion of Hydraulic Cement Concrete
Verified Date: 06/10/2025
Date Tested: 03/08/2023
Submitted By Organization: G3 Quality, Incorporated - Cerritos
Organization Address: 13850 Cerritos Corporate Drive, Unit E,
Organization City: Cerritos
Organization State: CA
Organization Zipcode: 90703
Organization Email: hwalker@g3quality.com
Organization Phone: 562-321-9853
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Average CTE 0.000008876 mm/mm/°C
Average CTE 4.931E-6 in/in/°F