Sample Record

Owner Lab

  • G3 Quality, Incorporated - Cerritos

DIME Sample ID 2019-10-11-16

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 Date08/01/2023
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 Date10/11/2019 Sample Unique Key16
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 testing10/12/2019
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 byJulian Last name of sampler or witnessed byCarmona
Title of samplerQC Field Technician Telephone number of samplerUnknown
Laboratory sample identificationMix G3-15-3600-590 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 identifier00-0000
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)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 collectedunknown
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size1 inch
The concrete mix design numberG3-15-3600-590 Lot number1
Sublot number1 Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-10-11-16-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesRonald Hernandez, G3 Quality, Incorporated - Cerritos10/15/2019Hysun Lee
Yes
11/13/2019
2019-10-11-16-2CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesRonald Hernandez, G3 Quality, Incorporated - Cerritos10/15/2019Hysun Lee
Yes
11/13/2019
2019-10-11-16-3CTM 217-June 2011: Method of Test for Sand EquivalentRonald Hernandez, G3 Quality, Incorporated - Cerritos10/15/2019Hysun Lee
Yes
11/13/2019
2019-10-11-16-4CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven DryingRonald Hernandez, G3 Quality, Incorporated - Cerritos10/15/2019Hysun Lee
Yes
11/13/2019
2019-10-11-16-5CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Ronald Hernandez, G3 Quality, Incorporated - Cerritos10/15/2019Hysun Lee
Yes
11/13/2019

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2019-10-11-16-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2019-10-11-16-2 CTM 202-November 2011 (Verified)
DIME Test ID: 2019-10-11-16-3 CTM 217-June 2011 (Verified)
DIME Test ID: 2019-10-11-16-4 CTM 226-July 2010 (Verified)
DIME Test ID: 2019-10-11-16-5 CTM 227-December 2014 (Verified)