Sample Record
Owner Lab
- G3 Quality, Incorporated - Cerritos
DIME Sample ID 2025-12-10-43
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Project Information
| Project Identifiers | Project ID: 1000777 DEA: 07370404 EFIS: 0720000128 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5-R59.5/R73.7 |
| Award Date | 02/06/2025 |
| Closeout Date | Not set |
| Work Description | COLD PLANE AC PAVEMENT, PLACE HOT MIX ASPHALT AND INSTALL MGS. |
| Location Description | LOS ANGELES COUNTY FROM LAKE HUGHES ROAD UNDERCROSSING TO 0.7 MILE SOUTH OF VISTA DEL LAGO ROAD OVERCROSSING. |
| QA Service Level | 1 (Verified on 11/25/2024) |
Sample Information
| Sample Taken Date | 12/10/2025 | Sample Unique Key | 43 |
|---|---|---|---|
| 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 | 12/10/2025 |
| Sample type | Quality Control | A brief description of the sample | 1"x4, 3/8"x#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 | Al | Last name of sampler or witnessed by | Pineda |
| Title of sampler | QC Field Technician | Telephone number of sampler | |
| Laboratory sample identification | S63C451T1 Set 1 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | National Ready Mix Santa Clarita | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-19-0046 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Set 1 | The fabricator/manufacturer designation for the sample | |
| The plant number | A detailed description of where the material sample was collected | Belt | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
| The concrete mix design number | S63C451T1 | Lot number | 1 |
| Sublot number | 1 | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2025-12-10-43-1 CTM 226-July 2010 (Verified)
DIME Test ID: 2025-12-10-43-2 CTM 202-November 2011 (Verified)
DIME Test ID: 2025-12-10-43-3 CTM 227-December 2014 (Verified)
DIME Test ID: 2025-12-10-43-4 CTM 202-November 2011 (Verified)
DIME Test ID: 2025-12-10-43-5 CTM 217-June 2011 (Verified)