Sample Record
Owner Lab
- G3 Quality, Incorporated - Cerritos
DIME Sample ID 2025-06-17-169
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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 | 169 |
|---|---|---|---|
| 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 | 06/18/2025 |
| Sample type | Quality Control | A brief description of the sample | 4x8 Cylinders |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Osvaldo | Last name of sampler or witnessed by | Ruiz |
| Title of sampler | QC Field Technician | Telephone number of sampler | |
| Laboratory sample identification | 1626827 Set 1 | 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 | Sign A4, STA 240+50 | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 16286827 |
|---|---|---|---|
| The truck number from where the sample was collected | Load 2 | The batch plant ticket number from where the sample was collected | 31643756 |
| Concrete batch plant | Cemex | The fabricator/manufacturer designation for the sample | Set 1 |
| A detailed description of where the material sample was collected | Sign A4, STA 240+50 | Where the material sample would have been placed if not sampled | Sign A4 |
| 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: 2025-06-17-169-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2025-06-17-169-2 CTM 518-June 2010 (Verified)
DIME Test ID: 2025-06-17-169-3 CTM 504-June 2010 (Verified)
DIME Test ID: 2025-06-17-169-4 CTM 557-June 2020 (Verified)