Sample Record
Owner Lab
- G3 Quality, Incorporated - Cerritos
DIME Sample ID 2024-06-26-107
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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 | 06/26/2024 | Sample Unique Key | 107 |
|---|---|---|---|
| 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 | 06/27/2024 |
| Sample type | Quality Control | A brief description of the sample | 1", 3/8", WCS |
| The quantity of what the sample constitutes | 1 Bag | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Heather | Last name of sampler or witnessed by | Davidson |
| Title of sampler | QC Field Technician | Telephone number of sampler | |
| Laboratory sample identification | Mix S85C440T19, Set 1 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | National Ready Mix - IRVINE | 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) | 91-19-0052 |
|---|---|---|---|
| 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 Cut |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 1 inch |
| The concrete mix design number | S85C440T19 | Lot number | 1 |
| Sublot number | 1 | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-06-26-107-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2024-06-26-107-2 CTM 202-November 2011 (Verified)
DIME Test ID: 2024-06-26-107-3 CTM 217-June 2011 (Verified)
DIME Test ID: 2024-06-26-107-4 CTM 226-July 2010 (Verified)