Sample Record

Owner Lab

  • G3 Quality, Inc. - Cerritos

DIME Sample ID 2019-05-24-21

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 Date05/24/2019 Sample Unique Key21
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 testing05/24/2019
Sample typeQuality Control A brief description of the sample6x12 Cylinders
The quantity of what the sample constitutes6 From where was the sample collectedJob Site
First name of sampler or witnessed byRobert Last name of sampler or witnessed byRomero
Title of samplerQC Field Technician Telephone number of samplerUnknown
Laboratory sample identificationSet 1 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameJobsite Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifier00-0000
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design numberS75099
The truck number from where the sample was collectedLoad 5 The batch plant ticket number from where the sample was collected0
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleSet 1
A detailed description of where the material sample was collectedValley View Bridge, Truck no 356 Where the material sample would have been placed if not sampledUnknown
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-05-24-21-1CTM 521-June 2012: Method of Test for Compressive Strength of Molded Concrete CylindersAlexis BalandraG3 Quality, Inc. - Cerritos05/31/2019Hysun Lee
Yes
08/08/2019
2019-05-24-21-2CTM 521-June 2012: Method of Test for Compressive Strength of Molded Concrete CylindersAlexis BalandraG3 Quality, Inc. - Cerritos06/21/2019Hysun Lee
Yes
08/08/2019
2019-05-24-21-3CTM 557-July 2012: Method of Test for Temperature of Freshly Mixed Portland Cement ConcreteRobert RomeroG3 Quality, Inc. - Cerritos05/24/2019Hysun Lee
Yes
08/08/2019
2019-05-24-21-4CTM 518-June 2010: Method of Test for Unit Weight of Fresh ConcreteRobert RomeroG3 Quality, Inc. - Cerritos05/24/2019Hysun Lee
Yes
08/08/2019
2019-05-24-21-5CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure MethodRobert RomeroG3 Quality, Inc. - Cerritos05/24/2019Hysun Lee
Yes
08/08/2019
2019-05-24-21-6CTM 556-March 2016: Method of Test for Slump of Fresh Portland Cement ConcreteRobert RomeroG3 Quality, Inc. - Cerritos05/24/2019Hysun Lee
Yes
08/08/2019