Sample Record

Owner Lab

  • G3 Quality, Inc. - Cerritos

DIME Sample ID 2021-02-22-28

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 209141
DEA: 07215954
EFIS: 0700001835
DIST-CO-RTE-PM07-LA-5-0.0/7.6
Award Date04/24/2014
Closeout DateNot set
Work DescriptionWIDENING FREEWAY AND RECONSTRUCT OVERHEAD AND OVERCROSSING STRUCTURES
Location DescriptionLOS 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 Level1 (Verified on 06/02/2014)

Sample Information

Sample Taken Date02/22/2021 Sample Unique Key28
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 testing02/22/2021
Sample typeQuality Control A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes6 From where was the sample collectedJob Site
First name of sampler or witnessed byRyan Last name of sampler or witnessed byMilum
Title of samplerField Technician Telephone number of samplerUnknown
Laboratory sample identificationSet 1 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 numberS62578
The truck number from where the sample was collectedLoad 1 The batch plant ticket number from where the sample was collected0
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleSet 1
A detailed description of where the material sample was collectedBarrier Anchor Blocks Florence On-Ramp onto NB RTE 5 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 NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-02-22-28-1CTM 521-June 2012: Method of Test for Compressive Strength of Molded Concrete CylindersPablo PowersG3 Quality, Inc. - Cerritos03/01/2021Hysun Lee
Yes
08/26/2021
2021-02-22-28-2CTM 521-June 2012: Method of Test for Compressive Strength of Molded Concrete CylindersPablo PowersG3 Quality, Inc. - Cerritos03/22/2021Hysun Lee
Yes
08/26/2021
2021-02-22-28-3CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement ConcreteRyan MilumG3 Quality, Inc. - Cerritos02/22/2021Hysun Lee
Yes
08/26/2021
2021-02-22-28-4CTM 518-June 2010: Method of Test for Unit Weight of Fresh ConcreteRyan MilumG3 Quality, Inc. - Cerritos02/22/2021Hysun Lee
Yes
08/26/2021
2021-02-22-28-5CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure MethodRyan MilumG3 Quality, Inc. - Cerritos02/22/2021Hysun Lee
Yes
08/26/2021
2021-02-22-28-6CTM 556-January 2018: Method of Test for Slump of Fresh Portland Cement ConcreteRyan MilumG3 Quality, Inc. - Cerritos02/22/2021Hysun Lee
Yes
08/26/2021