Sample Record

Owner Lab

  • G3 Quality, Inc. - Cerritos

DIME Sample ID 2019-10-22-12

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 Date10/22/2019 Sample Unique Key12
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 testing10/23/2019
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 byLuis Last name of sampler or witnessed bySolorio
Title of samplerQC Field Technician Telephone number of samplerUnknown
Laboratory sample identificationMix S72019 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameNational Ready Mix Artesia 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 or name of Pit)91-33-0027
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 Size1/2 inch
The concrete mix design numberS72019 Lot numberUnknown
Sublot numberUnknown HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-10-22-12-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesRonald HernandezG3 Quality, Inc. - Cerritos10/23/2019Hysun Lee
Yes
11/21/2019
2019-10-22-12-2CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesRonald HernandezG3 Quality, Inc. - Cerritos10/23/2019Hysun Lee
Yes
11/21/2019
2019-10-22-12-3CTM 217-June 2011: Method of Test for Sand EquivalentRonald HernandezG3 Quality, Inc. - Cerritos10/23/2019Hysun Lee
Yes
11/21/2019
2019-10-22-12-4CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven DryingRonald HernandezG3 Quality, Inc. - Cerritos10/21/2019Hysun Lee
Yes
11/21/2019
2019-10-22-12-5CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Ronald HernandezG3 Quality, Inc. - Cerritos10/23/2019Hysun Lee
Yes
11/21/2019