DIME - Sample Record for DIME Sample ID 2017-04-13-13

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Sample Record

Owner Lab

G3 Quality, Incorporated - Cerritos

DIME Sample ID 2017-04-13-13

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Project Information

Project Identifiers	Project ID: 209141 DEA: 07215954 EFIS: 0700001835
DIST-CO-RTE-PM	07-LA-5-0.0/7.6
Award Date	04/24/2014
Closeout Date	07/14/2022
Work Description	WIDENING FREEWAY AND RECONSTRUCT OVERHEAD AND OVERCROSSING STRUCTURES
Location Description	LOS ANGELES COUNTY IN LA MIRADA, SANTA FE SPRINGS, NORWALK AND DOWNEY FROM ORANGE COUNTY/LOS ANGELES COUNTY LIMIT LINES TO 0.7 MILE NORTH OF ROUTE 605
QA Service Level	1 (Verified on 06/02/2014)

Sample Information

Sample Taken Date	04/13/2017	Sample Unique Key	13
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	04/14/2017
Sample type	Quality Control	A brief description of the sample	6x12 concrete cylinders
The quantity of what the sample constitutes	6	From where was the sample collected	Job Site
First name of sampler or witnessed by	Rick	Last name of sampler or witnessed by	Martinez
Title of sampler	QC Field Technician	Telephone number of sampler	Unknown
Laboratory sample identification	Set 1	Linked DIME Sample ID	Unknown
The fabricator/manufacturer/facility name	Jobsite	Transportation Laboratory (TL) Number	Unknown
Inspector Lot Number from the Transportation Laboratory (TL) Form	Unknown	Structure unique identifier	Unknown
Structure name	Unknown

Material Information

Material Type	Concrete	The concrete mix design number	S72019
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	Bent 3 C Footing Pier 4 and 1 South and D	Where the material sample would have been placed if not sampled	Unknown
From Lot No.	Unknown	Bag Lot No.	Unknown

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date
2017-04-13-13-1	ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens	Andrew Uribe, G3 Quality, Incorporated - Cerritos	04/20/2017	Nick Schaefer	Yes	06/30/2017
2017-04-13-13-2	ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens	Andrew Uribe, G3 Quality, Incorporated - Cerritos	05/11/2017	Nick Schaefer	Yes	06/30/2017
2017-04-13-13-3	ASTM C1064-12: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete	Rick Martinez, G3 Quality, Incorporated - Cerritos	04/13/2017	Nick Schaefer	Yes	06/30/2017
2017-04-13-13-4	ASTM C138-17a: Standard Test Method for Density (Unit Weight), Yield, and Air Content (Gravimetric) of Concrete	Rick Martinez, G3 Quality, Incorporated - Cerritos	04/13/2017	Nick Schaefer	Yes	06/30/2017
2017-04-13-13-5	ASTM C143-15a: Standard Test Method for Slump of Hydraulic-Cement Concrete	Rick Martinez, G3 Quality, Incorporated - Cerritos	04/13/2017	Nick Schaefer	Yes	06/30/2017

Sample File Attachments

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Test File Attachments

DIME Test ID: 2017-04-13-13-1 ASTM C39-17a (Verified)
DIME Test ID: 2017-04-13-13-2 ASTM C39-17a (Verified)
DIME Test ID: 2017-04-13-13-3 ASTM C1064-12 (Verified)
DIME Test ID: 2017-04-13-13-4 ASTM C138-17a (Verified)
DIME Test ID: 2017-04-13-13-5 ASTM C143-15a (Verified)