Sample Record
Owner Lab
- G3 Quality, Incorporated - Cerritos
DIME Sample ID 2020-08-07-31
Project Information
Project Identifiers | Project ID: 211260 DEA: 072159U4 EFIS: 0715000160 |
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DIST-CO-RTE-PM | 07-LA,ORA-5-0.0/1.5, 44.3/44.4 |
Award Date | 05/27/2016 |
Closeout Date | 08/01/2023 |
Work Description | CONSTRUCT HOV LANES AND MIX FLOW LANES. |
Location Description | LOS 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 Level | 1 (Verified on 03/16/2016) |
Sample Information
Sample Taken Date | 08/07/2020 | Sample Unique Key | 31 |
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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 | 08/08/2020 |
Sample type | Quality Control | A brief description of the sample | 6x12 Cylinders |
The quantity of what the sample constitutes | 6 | From where was the sample collected | Job Site |
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 | Set 1 | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | Jobsite | Transportation Laboratory (TL) Number | Unknown |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | 00-0000 |
Structure name | Unknown |
Material Information
Material Type | Concrete | The concrete mix design number | S72074 |
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The truck number from where the sample was collected | Load 1 | The batch plant ticket number from where the sample was collected | 0 |
Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Set 1 |
A detailed description of where the material sample was collected | On-Ramp Bent 3 Column A | Where the material sample would have been placed if not sampled | Unknown |
From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |