Sample Record
Owner Lab
- G3 Quality, Incorporated - Cerritos
DIME Sample ID 2025-06-17-168
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 1000365 DEA: 033H9014 EFIS: 0323000075 |
|---|---|
| DIST-CO-RTE-PM | 03-SOL,YOL-50,80,113-Var |
| Award Date | 09/27/2024 |
| Closeout Date | Not set |
| Work Description | HMA, RHMA, SIGN STRUCTURE, CAMERA SYSTEMS, & FO CABLE SYSTEMS. |
| Location Description | SOLANO AND YOLO COUNTIES AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 09/17/2024) |
Sample Information
| Sample Taken Date | 06/17/2025 | Sample Unique Key | 168 |
|---|---|---|---|
| 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 | 06/17/2025 |
| Sample type | Quality Control | A brief description of the sample | 3/8", WCS |
| The quantity of what the sample constitutes | 1 Bag | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Osvaldo | Last name of sampler or witnessed by | Zepeda |
| Title of sampler | QC Field Technician | Telephone number of sampler | |
| Laboratory sample identification | Mix 1626827 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Cemex Fairfield | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | W/B RTE 80 & RTE 113 Median | Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-57-0008 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | Set 1 | |
| The plant number | A detailed description of where the material sample was collected | Batch Plant, Belt Cut | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/8 inch | |
| The concrete mix design number | 1626827 | Lot number | |
| Sublot number | Aggregate Mix Number | 1626827 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2025-06-17-168-1 CTM 226-July 2010 (Verified)
DIME Test ID: 2025-06-17-168-2 CTM 202-November 2011 (Verified)
DIME Test ID: 2025-06-17-168-3 CTM 227-December 2014 (Verified)
DIME Test ID: 2025-06-17-168-4 CTM 217-June 2011 (Verified)
DIME Test ID: 2025-06-17-168-5 CTM 202-November 2011 (Verified)
