Sample Record
Owner Lab
- G3 Quality, Incorporated - Cerritos
DIME Sample ID 2018-05-03-12
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 211260 DEA: 072159U4 EFIS: 0715000160 |
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DIST-CO-RTE-PM | 07-LA,ORA-5-0.0/1.5, 44.3/44.4 |
Award Date | 05/27/2016 |
Closeout Date | 08/01/2023 |
Work Description | CONSTRUCT HOV LANES AND MIX FLOW LANES. |
Location Description | LOS ANGELES AND ORANGE COUNTIES IN BUENA PARK, LA MIRADA, CERRITOS AND SANTA FE SPRINGS FROM ARTESIA BOULEVARD UNDERCROSSING TO NORTH FORK COYOTE CREEK |
QA Service Level | 1 (Verified on 03/16/2016) |
Sample Information
Sample Taken Date | 05/03/2018 | Sample Unique Key | 12 |
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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 | 05/03/2018 |
Sample type | Quality Control | A brief description of the sample | Rock and Sand |
The quantity of what the sample constitutes | 1 Bag | From where was the sample collected | Source |
First name of sampler or witnessed by | Robert | Last name of sampler or witnessed by | Horn |
Title of sampler | QC Field Technician | Telephone number of sampler | Unknown |
Laboratory sample identification | Mix G3-15-3600-590 | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | Security Florance | 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) | 91-19-0025::IRWINDALE |
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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 | Unknown |
Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 1 inch |
The concrete mix design number | G3-15-3600-590 | Lot number | Not set |
Sublot number | Not set | Aggregate Mix Number | Not set |
HMA Pay | No |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2018-05-03-12-1 CTM 202-Oct 2014 (Verified)
DIME Test ID: 2018-05-03-12-2 CTM 202-Oct 2014 (Verified)
DIME Test ID: 2018-05-03-12-3 CTM 217-June 2011 (Verified)
DIME Test ID: 2018-05-03-12-4 CTM 226-July 2010 (Verified)
DIME Test ID: 2018-05-03-12-5 CTM 227-December 2014 (Verified)