DIME - Sample Record for DIME Sample ID 2018-01-15-7

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Sample Record

Owner Lab

G3 Quality, Incorporated - Cerritos

DIME Sample ID 2018-01-15-7

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Project Information

Project Identifiers	Project ID: 211260 DEA: 072159U4 EFIS: 0715000160
DIST-CO-RTE-PM	07-LA,ORA-5-0.0/1.5, 44.3/44.4
Award Date	05/27/2016
Closeout Date	08/01/2023
Work Description	CONSTRUCT HOV LANES AND MIX FLOW LANES.
Location Description	LOS ANGELES AND ORANGE COUNTIES IN BUENA PARK, LA MIRADA, CERRITOS AND SANTA FE SPRINGS FROM ARTESIA BOULEVARD UNDERCROSSING TO NORTH FORK COYOTE CREEK
QA Service Level	1 (Verified on 03/16/2016)

Sample Information

Sample Taken Date	01/15/2018	Sample Unique Key	7
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	01/15/2018
Sample type	Quality Control	A brief description of the sample	Rock and Sand
The quantity of what the sample constitutes	1 Bag	From where was the sample collected	Source
First name of sampler or witnessed by	Manuel	Last name of sampler or witnessed by	Alcorta
Title of sampler	QC Field Technician	Telephone number of sampler	Unknown
Laboratory sample identification	Mix G3-15-STR-002	Linked DIME Sample ID	Unknown
The fabricator/manufacturer/facility name	Security Florance	Transportation Laboratory (TL) Number	Unknown
Inspector Lot Number from the Transportation Laboratory (TL) Form	Unknown	Structure unique identifier	Not set
Structure name	Not set

Material Information

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	91-19-0025::IRWINDALE
The fabricator's/manufacturer's product name for the sample	Set 1	The fabricator/manufacturer designation for the sample	Unknown
The plant number	Unknown	A detailed description of where the material sample was collected	Unknown
Where the material sample would have been placed if not sampled	Unknown	Primary Aggregate Nominal Size	1 inch
The concrete mix design number	G3-15-STR-002	Lot number	Not set
Sublot number	Not set	Aggregate Mix Number	Not set
HMA Pay	No

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date
2018-01-15-7-1	CTM 202-Oct 2014: Method of Test for Determining Sieve Analysis of Fine and Coarse Aggregates	Andrew Uribe, G3 Quality, Incorporated - Cerritos	01/15/2018	Nick Schaefer	Yes	06/06/2018
2018-01-15-7-2	CTM 202-Oct 2014: Method of Test for Determining Sieve Analysis of Fine and Coarse Aggregates	Andrew Uribe, G3 Quality, Incorporated - Cerritos	01/15/2018	Nick Schaefer	Yes	06/06/2018
2018-01-15-7-3	CTM 217-November 2014: Method of Test for Sand Equivalent	Andrew Uribe, G3 Quality, Incorporated - Cerritos	01/15/2018	Nick Schaefer	Yes	06/06/2018
2018-01-15-7-4	CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven Drying	Andrew Uribe, G3 Quality, Incorporated - Cerritos	01/15/2018	Nick Schaefer	Yes	06/06/2018
2018-01-15-7-5	CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)	Andrew Uribe, G3 Quality, Incorporated - Cerritos	01/15/2018	Nick Schaefer	Yes	06/06/2018

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2018-01-15-7-1 CTM 202-Oct 2014 (Verified)
DIME Test ID: 2018-01-15-7-2 CTM 202-Oct 2014 (Verified)
DIME Test ID: 2018-01-15-7-3 CTM 217-November 2014 (Verified)
DIME Test ID: 2018-01-15-7-4 CTM 226-July 2010 (Verified)
DIME Test ID: 2018-01-15-7-5 CTM 227-December 2014 (Verified)