Sample Record
Owner Lab
- G3 Quality, Incorporated - Cerritos
DIME Sample ID 2018-06-20-45
Sample is locked from editing. info
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 | 06/20/2018 | Sample Unique Key | 45 |
|---|---|---|---|
| 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 | 06/21/2018 |
| 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 | James | Last name of sampler or witnessed by | Rogers |
| 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 | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | G3-15-STR-001 |
|---|---|---|---|
| The truck number from where the sample was collected | Load 4 | 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 | Approach Slab 1 | Where the material sample would have been placed if not sampled | Unknown |
| From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2018-06-20-45-1 CTM 521-November 2014 (Verified)
DIME Test ID: 2018-06-20-45-2 CTM 521-November 2014 (Verified)
DIME Test ID: 2018-06-20-45-3 CTM 557-July 2012 (Verified)
DIME Test ID: 2018-06-20-45-4 CTM 518-June 2010 (Verified)
DIME Test ID: 2018-06-20-45-5 CTM 504-June 2010 (Verified)
DIME Test ID: 2018-06-20-45-6 CTM 556-January 2018 (Verified)
