Sample Record
Owner Lab
- G3 Quality, Incorporated - Cerritos
DIME Sample ID 2024-04-16-112
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994654 DEA: 07313504 EFIS: 0715000090 |
|---|---|
| DIST-CO-RTE-PM | 07-LA,VEN-1-37.7/62.9,0.0/0.9 |
| Award Date | 07/20/2023 |
| Closeout Date | Not set |
| Work Description | REMOVE AND CONSTRUCT BRIDGE AND CULVERTS. |
| Location Description | LOS ANGELES AND VENTURA COUNTIES AT VARIOUS LOCATIONS FROM 0.4 MILE SOUTH OF TEMESCAL CANYON ROAD TO 0.1 MILE NORTH OF TONGA STREET |
| QA Service Level | 1 (Verified on 07/24/2023) |
Sample Information
| Sample Taken Date | 04/16/2024 | Sample Unique Key | 112 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 04/17/2024 |
| Sample type | Quality Control | A brief description of the sample | 4x8 cylinders |
| The quantity of what the sample constitutes | 21 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Brian | Last name of sampler or witnessed by | Lovett |
| Title of sampler | QC Field Technician | Telephone number of sampler | |
| Laboratory sample identification | Set 1 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Job Site | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | 00-0000 |
| Structure name | RW Abut 1R CIDH #24 | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | SL750450WH8 |
|---|---|---|---|
| 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 | Unknown | The fabricator/manufacturer designation for the sample | Set 1 |
| A detailed description of where the material sample was collected | RW Abut 1R CIDH #24 | Where the material sample would have been placed if not sampled | Unknown |
| From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-04-16-112-1 CTM 504-June 2010 (Verified)