DIME - Sample Record for DIME Sample ID 2015-11-03-10

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Sample Record

Owner Lab

G3 Quality, Incorporated - Cerritos

DIME Sample ID 2015-11-03-10

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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	11/03/2015	Sample Unique Key	10
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	11/04/2015
Sample type	Quality Control	A brief description of the sample	rock and sand
The quantity of what the sample constitutes	3 bags	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	Unknown	Linked DIME Sample ID	Unknown
The fabricator/manufacturer/facility name	National Artesia	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)	National Artesia
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	Belt
Where the material sample would have been placed if not sampled	Unknown	Primary Aggregate Nominal Size
The concrete mix design number		Lot number	Not set
Sublot number	Not set	Aggregate Mix Number	Not set

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date
2015-11-03-10-1	CTM 202-Oct 2014: Method of Test for Determining Sieve Analysis of Fine and Coarse Aggregates	Peter Rice, G3 Quality, Incorporated - Cerritos	11/04/2015	Brian Platt	Yes	03/17/2016
2015-11-03-10-2	CTM 202-Oct 2014: Method of Test for Determining Sieve Analysis of Fine and Coarse Aggregates	Peter Rice, G3 Quality, Incorporated - Cerritos	11/04/2015	Brian Platt	Yes	03/17/2016
2015-11-03-10-3	CTM 202-Oct 2014: Method of Test for Determining Sieve Analysis of Fine and Coarse Aggregates	Peter Rice, G3 Quality, Incorporated - Cerritos	11/04/2015	Brian Platt	Yes	03/17/2016
2015-11-03-10-4	CTM 217-November 2014: Method of Test for Sand Equivalent	Peter Rice, G3 Quality, Incorporated - Cerritos	11/04/2015	Brian Platt	Yes	03/17/2016
2015-11-03-10-5	CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven Drying	Peter Rice, G3 Quality, Incorporated - Cerritos	11/04/2015	Brian Platt	Yes	03/17/2016
2015-11-03-10-6	CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)	Peter Rice, G3 Quality, Incorporated - Cerritos	11/04/2015	Brian Platt	Yes	03/17/2016

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2015-11-03-10-1 CTM 202-Oct 2014 (Verified)
DIME Test ID: 2015-11-03-10-2 CTM 202-Oct 2014 (Verified)
DIME Test ID: 2015-11-03-10-3 CTM 202-Oct 2014 (Verified)
DIME Test ID: 2015-11-03-10-4 CTM 217-November 2014 (Verified)
DIME Test ID: 2015-11-03-10-5 CTM 226-July 2010 (Verified)
DIME Test ID: 2015-11-03-10-6 CTM 227-December 2014 (Verified)