Sample Record for 2026-08-13-89
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1001572 DEA: 060W9204 EFIS: 0618000063
QA Service Level: 1
DIST-CO-RTE-PM: 06-KER-5-4.1/10.7
Work Description: RDWY EXC, CRCP, JPCP, HMA, TEMP BARRIER SYSTEM, AND AGGREGATE SUBBASE.
Location Description: KERN COUNTY NEAR GRAPEVINE FROM 0.3 MILE SOUTH OF GRAPEVINE CREEK BRIDGE TO 0.5 MILE NORTH OF GRAPEVINE ROAD UNDERCROSSING
Contractor Name: C.A. RASMUSSEN INC
Contractor Address: 28548 Livingston Ave., Valencia, CA 91355
Resident Engineer: Kristopher Raber Structure Rep.: Albert Heredia
Sample Information
DIME Sample ID: 2026-08-13-89
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: 08/13/2026
Date that the sample was received by the laboratory/organization performing the testing: 08/14/2026
The quantity of what the sample constitutes: 2
A brief description of the sample: 4x8 Cylinders
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Flatiron Dragados Construction
Material Information
The concrete mix design number: G3-26-PCC-407
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 0
Concrete batch plant: Flatiron Dragados Construction
The fabricator/manufacturer designation for the sample: Plant
A detailed description of where the material sample was collected: Plant
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
Test Results
Test
DIME Test ID: 2026-08-13-89-1
Test Method: AASHTO T336-15: Standard Method of Test for Coefficient of Thermal Expansion of 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
DIME Test ID: 2026-08-13-89-2
Test Method: AASHTO T336-15: Standard Method of Test for Coefficient of Thermal Expansion of 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.
