Sample Record

Owner Lab

  • G3 Quality, Inc. - Cerritos

DIME Sample ID 2017-12-26-2

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 211260
DEA: 072159U4
EFIS: 0715000160
DIST-CO-RTE-PM07-LA,ORA-5-0.0/1.5, 44.3/44.4
Award Date05/27/2016
Closeout DateNot set
Work DescriptionCONSTRUCT HOV LANES AND MIX FLOW LANES.
Location DescriptionLOS 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 Level1 (Verified on 03/16/2016)

Sample Information

Sample Taken Date12/26/2017 Sample Unique Key2
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 testing12/27/2017
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 byCody Last name of sampler or witnessed byCuevas
Title of samplerQC Field Technician Telephone number of samplerUnknown
Laboratory sample identificationMix S63061 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameSecurity 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)91-33-0027::CORONA QUARRY
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 collectedUnknown
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/4 inch
The concrete mix design numberS63061 Lot number1
Sublot number1 HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2017-12-26-2-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesAvo KarajianG3 Quality, Inc. - Cerritos12/27/2018Nena Hernandez
Yes
02/28/2019
2017-12-26-2-2CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesAvo KarajianG3 Quality, Inc. - Cerritos12/27/2018Nena Hernandez
Yes
02/28/2019
2017-12-26-2-3CTM 217-June 2011: Method of Test for Sand EquivalentCody CuevasG3 Quality, Inc. - Cerritos12/26/2018Nena Hernandez
Yes
02/28/2019
2017-12-26-2-4CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven DryingCody CuevasG3 Quality, Inc. - Cerritos12/26/2018Nena Hernandez
Yes
02/28/2019
2017-12-26-2-5CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Cody CuevasG3 Quality, Inc. - Cerritos12/26/2018Nena Hernandez
Yes
02/28/2019