DIME - Sample Record for DIME Sample ID 2019-05-01-24

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Sample Record

Owner Lab

G3 Quality, Incorporated - Cerritos

DIME Sample ID 2019-05-01-24

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Project Information

Project Identifiers	Project ID: 209141 DEA: 07215954 EFIS: 0700001835
DIST-CO-RTE-PM	07-LA-5-0.0/7.6
Award Date	04/24/2014
Closeout Date	07/14/2022
Work Description	WIDENING FREEWAY AND RECONSTRUCT OVERHEAD AND OVERCROSSING STRUCTURES
Location Description	LOS 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 Level	1 (Verified on 06/02/2014)

Sample Information

Sample Taken Date	05/01/2019	Sample Unique Key	24
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	05/02/2019
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	James	Last name of sampler or witnessed by	Burton
Title of sampler	QC Field Technician	Telephone number of sampler	Unknown
Laboratory sample identification	Mix S62578	Linked DIME Sample ID	Unknown
The fabricator/manufacturer/facility name	National Artesia	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)	91-33-0027::CORONA QUARRY
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
Where the material sample would have been placed if not sampled	Unknown	Primary Aggregate Nominal Size	1-1/2 inch
The concrete mix design number	S62578	Lot number	Unknown
Sublot number	Unknown	Aggregate Mix Number	Not set

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date
2019-05-01-24-1	CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates	Ronald Hernandez, G3 Quality, Incorporated - Cerritos	05/03/2019	Hysun Lee	Yes	07/23/2019
2019-05-01-24-2	CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates	Ronald Hernandez, G3 Quality, Incorporated - Cerritos	05/03/2019	Hysun Lee	Yes	07/23/2019
2019-05-01-24-3	CTM 217-June 2011: Method of Test for Sand Equivalent	Ronald Hernandez, G3 Quality, Incorporated - Cerritos	05/03/2019	Hysun Lee	Yes	07/23/2019
2019-05-01-24-4	CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven Drying	Ronald Hernandez, G3 Quality, Incorporated - Cerritos	05/03/2019	Hysun Lee	Yes	07/23/2019
2019-05-01-24-5	CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)	Ronald Hernandez, G3 Quality, Incorporated - Cerritos	05/03/2019	Hysun Lee	Yes	07/23/2019

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2019-05-01-24-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2019-05-01-24-2 CTM 202-November 2011 (Verified)
DIME Test ID: 2019-05-01-24-3 CTM 217-June 2011 (Verified)
DIME Test ID: 2019-05-01-24-4 CTM 226-July 2010 (Verified)
DIME Test ID: 2019-05-01-24-5 CTM 227-December 2014 (Verified)