Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 212900 DEA: 051G6804 EFIS: 0515000063
QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO-101-16.2-20.3
Work Description: US 101 PISMO CONGESTION RELIEF PROJECT
Location Description: IN SAN LUIS OBISPO COUNTY IN PSMO BEACH FROM PISMO OVERHEAD TO 0.5 MILE NORTH OF SHELL BEACH ROAD UC
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 351 North Blosser Road, Santa Maria, CA 93458
Resident Engineer: Philip Gaston Structure Rep.: Sal Heredia
DIME Sample ID: 2026-08-07-16
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: 08/07/2026
Date that the sample was received by the laboratory/organization performing the testing: 08/08/2026
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: ES26-032, Set 2
Structure unique identifier:
Structure name: Price St Wall STA 10+00 to 10+72.5
The fabricator/manufacturer/facility name: Alliance Ready Mix Arroyo Grande
The concrete mix design number: ES26-032
The truck number from where the sample was collected: Load 11
The batch plant ticket number from where the sample was collected: 1
Concrete batch plant:
The fabricator/manufacturer designation for the sample: Set 2
A detailed description of where the material sample was collected: Price St Wall STA 10+00 to 10+72.5
Where the material sample would have been placed if not sampled:
From Lot No.: 1
Bag Lot No.: 1
DIME Test ID: 2026-08-07-16-1
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.
DIME Test ID: 2026-08-07-16-2
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.
DIME Test ID: 2026-08-07-16-3
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.
DIME Test ID: 2026-08-07-16-4
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.
DIME Test ID: 2026-08-07-16-5
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.
