DIME - Sample Record for DIME Sample ID 2019-06-26-20

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Sample Record

Owner Lab

G3 Quality, Incorporated - Cerritos

DIME Sample ID 2019-06-26-20

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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	06/26/2019	Sample Unique Key	20
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	06/27/2019
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	James	Last name of sampler or witnessed by	Rogers
Title of sampler	QC Field Technician	Telephone number of sampler	Unknown
Laboratory sample identification	Mix G3-15-3600-590	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	00-0000
Structure name

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 2	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	G3-15-3600-590	Lot number	1
Sublot number	1	Aggregate Mix Number	Not set

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date
2019-06-26-20-1	CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates	Ronald Hernandez, G3 Quality, Incorporated - Cerritos	06/27/2019	Hysun Lee	Yes	08/12/2019
2019-06-26-20-2	CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates	Ronald Hernandez, G3 Quality, Incorporated - Cerritos	06/27/2019	Hysun Lee	Yes	08/12/2019
2019-06-26-20-3	CTM 217-June 2011: Method of Test for Sand Equivalent	Ronald Hernandez, G3 Quality, Incorporated - Cerritos	06/27/2019	Hysun Lee	Yes	08/12/2019
2019-06-26-20-4	CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven Drying	Ronald Hernandez, G3 Quality, Incorporated - Cerritos	06/27/2019	Hysun Lee	Yes	08/12/2019
2019-06-26-20-5	CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)	Ronald Hernandez, G3 Quality, Incorporated - Cerritos	06/27/2019	Hysun Lee	Yes	08/12/2019

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2019-06-26-20-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2019-06-26-20-2 CTM 202-November 2011 (Verified)
DIME Test ID: 2019-06-26-20-3 CTM 217-June 2011 (Verified)
DIME Test ID: 2019-06-26-20-4 CTM 226-July 2010 (Verified)
DIME Test ID: 2019-06-26-20-5 CTM 227-December 2014 (Verified)