Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000612 DEA: 120R57U4 EFIS: 1223000131
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-405-11.4/24.2
Work Description: PLACE JPCP (RSC) AND RHMA, AND MODIFY ELECTRICAL SYSTEMS.
Location Description: ORANGE COUNTY FROM HARBOR BOULEVARD UNDERCROSSING IN COSTA MESA TO LOS ANGELES COUNTY LINE AT ROSSMOOR
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 9050 Norris Ave. #200, Westlake Village, CA 91361
Resident Engineer: Mario Leon Structure Rep.: Maribel Munoz Blanco
DIME Sample ID: 2026-02-21-30
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: 02/21/2026
Date that the sample was received by the laboratory/organization performing the testing: 02/22/2026
The quantity of what the sample constitutes: 8
A brief description of the sample: 6x12 Cylinders
From where was the sample collected: Job Site
Laboratory sample identification: G3-25-CTS-389 Set 1
Structure unique identifier:
Structure name: S/B Bolsa Approach Slab, Lane 1/2
The fabricator/manufacturer/facility name: Security Paving Company
The concrete mix design number: G3-25-CTS-389
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: Security Paving Company
The fabricator/manufacturer designation for the sample: Set 1
A detailed description of where the material sample was collected: S/B Bolsa Approach Slab, Lane 1/2
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
DIME Test ID: 2026-02-21-30-1
Test Method: CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement Concrete
Verified Date: 05/15/2026
Date Tested: 02/22/2026
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:
DIME Test ID: 2026-02-21-30-2
Test Method: CTM 518-June 2010: Method of Test for Unit Weight of Fresh Concrete
Verified Date: 05/15/2026
Date Tested: 02/22/2026
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:
|
Unit weight of the concrete
|
146.6 lb/ft^3
|
|
Cement content
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no data0 lb/yd^3
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DIME Test ID: 2026-02-21-30-3
Test Method: CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method
Verified Date: 05/15/2026
Date Tested: 02/22/2026
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:
DIME Test ID: 2026-02-21-30-4
Test Method: CTM 556-January 2018: Method of Test for Slump of Fresh Portland Cement Concrete
Verified Date: 05/15/2026
Date Tested: 02/22/2026
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:
DIME Test ID: 2026-02-21-30-5
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 05/15/2026
Date Tested: 02/22/2026
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:
|
Unit system used?
|
US Units
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|
Number of specimens
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2
|
|
Test performed
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With no density determined
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|
Capped in accordance with?
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ASTM C1231 - Unbonded Elastomeric Pad Cap
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Average diameter of cylinder 1
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6.00 in
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Average diameter of cylinder 2
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6.00 in
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Cross sectional area of cylinder 1
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28.27 in^2
|
|
Cross sectional area of cylinder 2
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28.27 in^2
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Compressive strength (to nearest 10 psi)
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3960 psi
|
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Maximum load on cylinder 1
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105130 lb
|
|
Maximum load on cylinder 2
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118450 lb
|
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Type of fracture pattern of cylinder 1
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3
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Type of fracture pattern of cylinder 2
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3
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|
Comment on any defect in either specimen or caps (Max 250 Characters)
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no data
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Correction factor for cylinder 1
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1
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Correction factor for cylinder 2
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1
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Age of specimen
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no data0 days
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Age of specimen in hours
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2 hours
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DIME Test ID: 2026-02-21-30-6
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Verified Date: 05/15/2026
Date Tested: 03/03/2026
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:
|
Unit system used?
|
US Units
|
|
Number of specimens
|
3
|
|
Test performed
|
With no density determined
|
|
Capped in accordance with?
|
ASTM C1231 - Unbonded Elastomeric Pad Cap
|
|
Average diameter of cylinder 1
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6.01 in
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Average diameter of cylinder 2
|
6.01 in
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Average diameter of cylinder 3
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6.01 in
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Cross sectional area of cylinder 1
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28.37 in^2
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Cross sectional area of cylinder 2
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28.37 in^2
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Cross sectional area of cylinder 3
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28.37 in^2
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Compressive strength (to nearest 10 psi)
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6830 psi
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Maximum load on cylinder 1
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193606 lb
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Maximum load on cylinder 2
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204208 lb
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Maximum load on cylinder 3
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183316 lb
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Type of fracture pattern of cylinder 1
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2
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Type of fracture pattern of cylinder 2
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2
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Type of fracture pattern of cylinder 3
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2
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Comment on any defect in either specimen or caps (Max 250 Characters)
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no data
|
|
Correction factor for cylinder 1
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1
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Correction factor for cylinder 2
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1
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Correction factor for cylinder 3
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1
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Age of specimen
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28 days
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Age of specimen in hours
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no data0 hours
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