Sample Record

Owner Lab

  • G3 Quality, Inc. - Cerritos

DIME Sample ID 2017-12-20-13

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 209141
DEA: 07215954
EFIS: 0700001835
DIST-CO-RTE-PM07-LA-5-0.0/7.6
Award Date04/24/2014
Closeout DateNot set
Work DescriptionWIDENING FREEWAY AND RECONSTRUCT OVERHEAD AND OVERCROSSING STRUCTURES
Location DescriptionLOS 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 Level1 (Verified on 06/02/2014)

Sample Information

Sample Taken Date12/20/2017 Sample Unique Key13
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 testing12/20/2017
Sample typeQuality Control A brief description of the samplerock and sand
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byMartin Last name of sampler or witnessed bySerna
Title of samplerQC Field Technician Telephone number of samplerUnknown
Laboratory sample identificationMix G3-15-590-3600 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameSecurity Paving - Florance Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-19-0025::IRWINDALE
The fabricator's/manufacturer's product name for the sampleset 1 The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedBatch Plant
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size1 inch
The concrete mix design numberG3-15-590-3600 Lot numberNot set
Sublot numberNot set HMA Design ID
HMA PayNo

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2017-12-20-13-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesAndrew UribeG3 Quality, Inc. - Cerritos12/20/2017Nick Schaefer
Yes
01/18/2018
2017-12-20-13-2CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesAndrew UribeG3 Quality, Inc. - Cerritos12/20/2017Nick Schaefer
Yes
01/18/2018
2017-12-20-13-3CTM 217-November 2014: Method of Test for Sand EquivalentAndrew UribeG3 Quality, Inc. - Cerritos12/20/2017Nick Schaefer
Yes
01/18/2018
2017-12-20-13-4CTM 226-July 2010: Method for Moisture Content of Soils and Aggregates by Oven DryingAndrew UribeG3 Quality, Inc. - Cerritos12/20/2017Nick Schaefer
Yes
01/18/2018
2017-12-20-13-5CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Andrew UribeG3 Quality, Inc. - Cerritos12/20/2017Nick Schaefer
Yes
01/18/2018