Sample Record
Owner Lab
- G3 Quality, Incorporated - Cerritos
DIME Sample ID 2024-10-28-77
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Project Information
| Project Identifiers | Project ID: 994084 DEA: 060U8804 EFIS: 0616000074 |
|---|---|
| DIST-CO-RTE-PM | 06-TUL-99-26.3/27.6 |
| Award Date | 01/23/2023 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT A NEW INTERCHANGE AT COMMERCIAL AVENUE NOW CALLED INTERNATIONAL AGRI-CENTER WAY |
| Location Description | ON STATE ROUTE 99 |
| QA Service Level | 1 (Verified on 03/13/2023) |
Sample Information
| Sample Taken Date | 10/28/2024 | Sample Unique Key | 77 |
|---|---|---|---|
| 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 | 10/29/2024 |
| Sample type | Quality Control | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 8 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Julian | Last name of sampler or witnessed by | Carmona |
| Title of sampler | QC Field Technician | Telephone number of sampler | |
| Laboratory sample identification | Mix 180412, Set 1 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | CalPortland | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | 00-0000 |
| Structure name | Abutment 1 | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 180412 |
|---|---|---|---|
| The truck number from where the sample was collected | Load 8 | 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 | Abutment Wall 3 | Where the material sample would have been placed if not sampled | Unknown |
| From Lot No. | 1 | Bag Lot No. | 1 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-10-28-77-1 CTM 557-June 2020 (Verified)
DIME Test ID: 2024-10-28-77-2 CTM 518-June 2010 (Verified)
DIME Test ID: 2024-10-28-77-3 CTM 504-June 2010 (Verified)
DIME Test ID: 2024-10-28-77-4 CTM 556-January 2018 (Verified)
DIME Test ID: 2024-10-28-77-5 CTM 521-June 2020 (Verified)
DIME Test ID: 2024-10-28-77-6 CTM 521-June 2020 (Verified)