Sample Record

Owner Lab

  • G3 Quality, Incorporated - Cerritos

DIME Sample ID 2024-04-20-15

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 994425
DEA: 040K5204
EFIS: 0416000098
DIST-CO-RTE-PM04-SON-12-11.0/T17.4
Award Date03/21/2023
Closeout DateNot set
Work DescriptionOverlay with RHMA, replace guardrails, approach slabs and signs.
Location DescriptionConstruction on State Highway in Sonoma County from Llano Road to Farmers Lane.
QA Service Level1 (Verified on 12/07/2022)

Sample Information

Sample Taken Date04/20/2024 Sample Unique Key15
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 testing04/21/2024
Sample typeQuality Control A brief description of the sample1" Rock and WCS
The quantity of what the sample constitutes1 Bag From where was the sample collectedJob Site
First name of sampler or witnessed byBrent Last name of sampler or witnessed byVan-Y
Title of samplerQC Field Technician Telephone number of sampler
Laboratory sample identificationMix HE4X12BM, Set 2 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameVanguard Construction Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifier00-0000
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-49-0004
The fabricator's/manufacturer's product name for the sampleSet 2 The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedBelt Cut
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size1 inch
The concrete mix design numberHE4x12BM Lot number1
Sublot number1 Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2024-04-20-15-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesBrent Van-Y, G3 Quality, Incorporated - Cerritos04/21/2024Ricky Pham
Yes
06/07/2024
2024-04-20-15-2CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesBrent Van-Y, G3 Quality, Incorporated - Cerritos04/21/2024Ricky Pham
Yes
06/07/2024
2024-04-20-15-3CTM 217-June 2011: Method of Test for Sand EquivalentBrent Van-Y, G3 Quality, Incorporated - Cerritos04/21/2024Ricky Pham
Yes
06/07/2024
2024-04-20-15-4CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven DryingBrent Van-Y, G3 Quality, Incorporated - Cerritos04/21/2024Ricky Pham
Yes
06/07/2024
2024-04-20-15-5CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Brent Van-Y, G3 Quality, Incorporated - Cerritos04/21/2024Ricky Pham
Yes
06/07/2024

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2024-04-20-15-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2024-04-20-15-2 CTM 202-November 2011 (Verified)
DIME Test ID: 2024-04-20-15-3 CTM 217-June 2011 (Verified)
DIME Test ID: 2024-04-20-15-4 CTM 226-July 2010 (Verified)
DIME Test ID: 2024-04-20-15-5 CTM 227-December 2014 (Verified)