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Sample Record for 2025-11-26-16

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

Project Information

Project ID: 1000510 DEA: 060W79U4 EFIS: 0622000189 QA Service Level: 1
DIST-CO-RTE-PM: 06-KER,TUL-99-56.4/57.6,0.0/13.5
Work Description: RDWY EXC, HMA, AGGREGATE BASE, CRCP, SIGN STR, AND STR EXC.
Location Description: KERN AND TULARE COUNTIES IN AND NEAR DELANO FROM 0.2 MILE SOUTH OF CECIL AVENUE OVERCROSSING TO 0.7 MILE NORTH OF AVENUE 100 OVERCROSSING
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 2915 Fairhaven Drive, Bakersfield, CA 93308
Resident Engineer: Jake Garcia Structure Rep.: Raman Guraya

Sample Information

DIME Sample ID: 2025-11-26-16
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: 11/26/2025
Date that the sample was received by the laboratory/organization performing the testing: 11/28/2025
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: 163457 Set 1
Structure unique identifier:
Structure name: sound Wall #2 Pile Cap STA 461+80
The fabricator/manufacturer/facility name: CalPortland

Material Information

The concrete mix design number: 163457
The truck number from where the sample was collected: Load 2
The batch plant ticket number from where the sample was collected: 0
Concrete batch plant: CalPortland
The fabricator/manufacturer designation for the sample: 163457
A detailed description of where the material sample was collected: Sound Wall #2 Pile Cap STA 461+80
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 5

DIME Test ID: 2025-11-26-16-1
Test Method: CTM 518-June 2010: Method of Test for Unit Weight of Fresh Concrete
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
Data has not been verified.

Test 2 of 5

DIME Test ID: 2025-11-26-16-2
Test Method: CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method
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
Data has not been verified.

Test 3 of 5

DIME Test ID: 2025-11-26-16-3
Test Method: CTM 556-January 2018: Method of Test for Slump of Fresh Portland Cement Concrete
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
Data has not been verified.

Test 4 of 5

DIME Test ID: 2025-11-26-16-4
Test Method: CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement Concrete
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
Data has not been verified.

Test 5 of 5

DIME Test ID: 2025-11-26-16-5
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
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
Data has not been verified.