DIME - Sample Record for DIME Sample ID 2022-01-10-57

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Sample Record

Owner Lab

G3 Quality, Incorporated - Cerritos

DIME Sample ID 2022-01-10-57

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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	01/10/2022	Sample Unique Key	57
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	01/11/2022
Sample type	Quality Control	A brief description of the sample	6x12 Cylinders
The quantity of what the sample constitutes	6	From where was the sample collected	Job Site
First name of sampler or witnessed by	Prescott	Last name of sampler or witnessed by	Barnett
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	00-0000
Structure name	Unknown

Material Information

Material Type	Concrete	The concrete mix design number	G3-15-3600-590
The truck number from where the sample was collected	Load 2	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	Center Median Barrier Wall STA 64-60	Where the material sample would have been placed if not sampled	Unknown
From Lot No.	Unknown	Bag Lot No.	Unknown

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date
2022-01-10-57-1	CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders	Jose Martinez, G3 Quality, Incorporated - Cerritos	01/17/2022	Hysun Lee	Yes	03/21/2022
2022-01-10-57-2	CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders	Carlos Viramontes, G3 Quality, Incorporated - Cerritos	02/07/2022	Hysun Lee	Yes	03/21/2022
2022-01-10-57-3	CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement Concrete	Prescott Barnett, G3 Quality, Incorporated - Cerritos	01/10/2022	Hysun Lee	Yes	03/21/2022
2022-01-10-57-4	CTM 518-June 2010: Method of Test for Unit Weight of Fresh Concrete	Prescott Barnett, G3 Quality, Incorporated - Cerritos	01/10/2022	Hysun Lee	Yes	03/21/2022
2022-01-10-57-5	CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method	Prescott Barnett, G3 Quality, Incorporated - Cerritos	01/10/2022	Hysun Lee	Yes	03/21/2022
2022-01-10-57-6	CTM 533-June 2010: Method of Test for Ball Penetration in Fresh Portland Cement Concrete	Prescott Barnett, G3 Quality, Incorporated - Cerritos	01/10/2022	Hysun Lee	Yes	03/21/2022

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2022-01-10-57-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2022-01-10-57-2 CTM 521-June 2020 (Verified)
DIME Test ID: 2022-01-10-57-3 CTM 557-June 2020 (Verified)
DIME Test ID: 2022-01-10-57-4 CTM 518-June 2010 (Verified)
DIME Test ID: 2022-01-10-57-5 CTM 504-June 2010 (Verified)
DIME Test ID: 2022-01-10-57-6 CTM 533-June 2010 (Verified)