Sample Record

Owner Lab

  • G3 Quality, Incorporated - Cerritos

DIME Sample ID 2020-01-24-25

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 Date01/24/2020 Sample Unique Key25
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 testing01/25/2020
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 byLuis Last name of sampler or witnessed bySolorio
Title of samplerQC Field Technician Telephone number of samplerUnknown
Laboratory sample identificationSet 2 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 numberS72019
The truck number from where the sample was collectedLoad 11 The batch plant ticket number from where the sample was collected0
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleSet 2
A detailed description of where the material sample was collectedRW VA 104 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 Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-01-24-25-1CTM 521-June 2012: Method of Test for Compressive Strength of Molded Concrete CylindersAlberto Pineda-Gonzalez, G3 Quality, Incorporated - Cerritos01/31/2020Hysun Lee
Yes
03/05/2020
2020-01-24-25-2CTM 521-June 2012: Method of Test for Compressive Strength of Molded Concrete CylindersAlberto Pineda-Gonzalez, G3 Quality, Incorporated - Cerritos02/21/2020Hysun Lee
Yes
03/05/2020

Sample File Attachments

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Test File Attachments


DIME Test ID: 2020-01-24-25-1 CTM 521-June 2012 (Verified)
DIME Test ID: 2020-01-24-25-2 CTM 521-June 2012 (Verified)