Sample Record for 2025-04-10-55
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 214698 DEA: 120N8904 EFIS: 1214000130
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-133-8.3/M9.3
Work Description: CONSTRUCT AUXILIARY LANE.
Location Description: ORANGE COUNTY IN IRVINE FROM ROUTE 133/405 SEPARATION TO IRVINE CENTER DRIVE OVERCROSSING
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 3200 Park Center Drive, Suite #200, Costa Mesa, CA 92626
Resident Engineer: Arezo Ghiam Structure Rep.: Michael Yee
Sample Information
DIME Sample ID: 2025-04-10-55
TL Number from the TL Form: Unknown
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: 04/10/2025
Date that the sample was received by the laboratory/organization performing the testing: 04/11/2025
The quantity of what the sample constitutes: 9
A brief description of the sample: 4x8 Cylinders
From where was the sample collected: Job Site
Laboratory sample identification: Set 1
Structure unique identifier: 00-0000
Structure name:
The fabricator/manufacturer/facility name: Job Site
Material Information
The concrete mix design number: S63C453T13
The truck number from where the sample was collected: Load 1
The batch plant ticket number from where the sample was collected: 0
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Set 1
A detailed description of where the material sample was collected: S/B RTE 133 Center Median, Truck #20051
Where the material sample would have been placed if not sampled: Unknown
From Lot No.: 1
Bag Lot No.: 1
Test Results
Test 1 of 4
DIME Test ID: 2025-04-10-55-1
Test Method: CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement Concrete
Verified Date: 10/17/2025
Date Tested: 04/11/2025
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:
Test 2 of 4
DIME Test ID: 2025-04-10-55-2
Test Method: CTM 518-June 2010: Method of Test for Unit Weight of Fresh Concrete
Verified Date: 10/17/2025
Date Tested: 04/11/2025
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:
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Unit weight of the concrete
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146.4 lb/ft^3
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Cement content
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no data0 lb/yd^3
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Test 3 of 4
DIME Test ID: 2025-04-10-55-3
Test Method: CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 10/17/2025
Date Tested: 04/11/2025
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:
Test 4 of 4
DIME Test ID: 2025-04-10-55-4
Test Method: CTM 556-January 2018: Method of Test for Slump of Fresh Portland Cement Concrete
Verified Date: 10/17/2025
Date Tested: 04/11/2025
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:
