Sample Record
Owner Lab
- G3 Quality, Incorporated - Cerritos
DIME Sample ID 2021-03-19-29
Sample is locked from editing. info
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 | 03/19/2021 | Sample Unique Key | 29 |
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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 | 03/20/2021 |
Sample type | Quality Control | A brief description of the sample | 6x12 concrete cylinders |
The quantity of what the sample constitutes | 6 | From where was the sample collected | Job Site |
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 | Set 2 | 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 |
Material Information
Material Type | Concrete | The concrete mix design number | G3-15-STR-002 |
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The truck number from where the sample was collected | Load 12 | The batch plant ticket number from where the sample was collected | 0 |
Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Set 2 |
A detailed description of where the material sample was collected | RTE 5 New Valley View Bridge | Where the material sample would have been placed if not sampled | Unknown |
From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-03-19-29-1 CTM 521-June 2012 (Verified)
DIME Test ID: 2021-03-19-29-2 CTM 521-June 2012 (Verified)
DIME Test ID: 2021-03-19-29-3 CTM 557-June 2020 (Verified)
DIME Test ID: 2021-03-19-29-4 CTM 518-June 2010 (Verified)
DIME Test ID: 2021-03-19-29-5 CTM 504-June 2010 (Verified)
DIME Test ID: 2021-03-19-29-6 CTM 556-January 2018 (Verified)