Sample Record
Owner Lab
- G3 Quality, Incorporated - Cerritos
DIME Sample ID 2023-11-08-109
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Project Information
| Project Identifiers | Project ID: 993446 DEA: 120J34U4 EFIS: 1218000034 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-55,55-29.6,R6.4/10.3 |
| Award Date | 05/27/2022 |
| Closeout Date | Not set |
| Work Description | CONSTR BRIDGES, RW, SW, JPCP, HMA PVMT, DRAINAGE AND ELECT SYSTEMS. |
| Location Description | ORANGE COUNTY IN IRVINE, SANTA ANA, AND TUSTIN ON ROUTE 5 AT NEWPORT AVENUE UNDERCROSSING AND ON ROUTE 55 FROM 0.4 MILE NORTH OF ROUTE 55/405 SEPARATION TO 0.1 MILE SOUTH OF ROUTE 5/55 SEPARATION |
| QA Service Level | 1 (Verified on 06/24/2022) |
Sample Information
| Sample Taken Date | 11/08/2023 | Sample Unique Key | 109 |
|---|---|---|---|
| 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 | 11/09/2023 |
| Sample type | Quality Control | A brief description of the sample | 6 x 12 Concrete Cylinders |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Brenda | Last name of sampler or witnessed by | Amaya |
| Title of sampler | QC Field Technician | Telephone number of sampler | |
| Laboratory sample identification | Set 1 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | National Ready Mix, belt | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | 00-0000 |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | S85C440T19 |
|---|---|---|---|
| The truck number from where the sample was collected | Load 1 | The batch plant ticket number from where the sample was collected | 405901 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | Set 1 | |
| A detailed description of where the material sample was collected | Edinger Column Bent 3 | Where the material sample would have been placed if not sampled | |
| From Lot No. | 1 | Bag Lot No. | 1 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-11-08-109-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2023-11-08-109-2 CTM 557-June 2020 (Verified)
DIME Test ID: 2023-11-08-109-3 CTM 518-June 2010 (Verified)
DIME Test ID: 2023-11-08-109-4 CTM 504-June 2010 (Verified)
DIME Test ID: 2023-11-08-109-5 CTM 556-January 2018 (Verified)