Sample Record
Owner Lab
- G3 Quality, Incorporated - Cerritos
DIME Sample ID 2020-09-25-28
Project Information
Project Identifiers | Project ID: 209141 DEA: 07215954 EFIS: 0700001835 |
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DIST-CO-RTE-PM | 07-LA-5-0.0/7.6 |
Award Date | 04/24/2014 |
Closeout Date | 07/14/2022 |
Work Description | WIDENING FREEWAY AND RECONSTRUCT OVERHEAD AND OVERCROSSING STRUCTURES |
Location Description | LOS ANGELES COUNTY IN LA MIRADA, SANTA FE SPRINGS, NORWALK AND DOWNEY FROM ORANGE COUNTY/LOS ANGELES COUNTY LIMIT LINES TO 0.7 MILE NORTH OF ROUTE 605 |
QA Service Level | 1 (Verified on 06/02/2014) |
Sample Information
Sample Taken Date | 09/25/2020 | Sample Unique Key | 28 |
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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 | 09/26/2020 |
Sample type | Quality Control | A brief description of the sample | rock and sand |
The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Source |
First name of sampler or witnessed by | Dwayne | Last name of sampler or witnessed by | Ovalle |
Title of sampler | QC Field Technician | Telephone number of sampler | Unknown |
Laboratory sample identification | Mix G3-15-590-3600 | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | Security Paving - Florance | Transportation Laboratory (TL) Number | Unknown |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | 00-0000 |
Structure name |
Material Information
Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-19-0025::IRWINDALE |
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The fabricator's/manufacturer's product name for the sample | set 1 | The fabricator/manufacturer designation for the sample | Unknown |
The plant number | Unknown | A detailed description of where the material sample was collected | Batch Plant |
Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 1 inch |
The concrete mix design number | G3-15-590-3600 | Lot number | Unknown |
Sublot number | Unknown | Aggregate Mix Number | Not set |
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. |