Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001666 DEA: 051K4404 EFIS: 0518000208
QA Service Level: 1
DIST-CO-RTE-PM: 05-MON,-101-R41.9/49.8
Work Description: COLD PLANE, PLACE HMA & RHMA, LIGHTING AND INSTALL TMS ELEMENTS.
Location Description: MONTEREY COUNTY NEAR KING CITY FROM JOLON ROAD UNDERCROSSING TO 0.1 MILE NORTH OF LAGOMARSINO AVENUE
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 398 Sunrise Terrace, Arroyo Grande, CA 93420
Resident Engineer: Baljinder S Brar Structure Rep.: Unknown
DIME Sample ID: 2026-06-09-52
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: 06/09/2026
Date that the sample was received by the laboratory/organization performing the testing: 06/11/2026
The quantity of what the sample constitutes: 5
A brief description of the sample: 4x8 Cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 57S590 Set 3
Structure unique identifier:
Structure name: Barrier Slab East side of RTE 101, STA 35+30
The fabricator/manufacturer/facility name: Graniterock
The concrete mix design number: 57S590
The truck number from where the sample was collected: Load 25
The batch plant ticket number from where the sample was collected: 0
Concrete batch plant: Graniterock
The fabricator/manufacturer designation for the sample: Set 3
A detailed description of where the material sample was collected: Barrier Slab East side of RTE 101, STA 35+30
Where the material sample would have been placed if not sampled:
From Lot No.: 1
Bag Lot No.: 1
DIME Test ID: 2026-06-09-52-1
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.
DIME Test ID: 2026-06-09-52-2
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.
DIME Test ID: 2026-06-09-52-3
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.
DIME Test ID: 2026-06-09-52-4
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.
DIME Test ID: 2026-06-09-52-5
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.
DIME Test ID: 2026-06-09-52-6
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.
