Sample Record

Owner Lab

  • G3 Quality, Inc. - Cerritos

DIME Sample ID 2022-03-17-72

Project Information

Project IdentifiersProject ID: 214469
DEA: 030H08U4
EFIS: 0319000029
DIST-CO-RTE-PM03-SAC-50-L0.2/R6.1
Award Date06/30/2020
Closeout DateNot set
Work DescriptionSac 50 Design Build PLEASE NOTE THAT DESIGN BUILDER MUST PERFORM QUALITY VALIDATION TESTING IN ACCORDANCE WITH THE MATERIAL CONTROL SCHEDULE (MCS) FOR ITEMS SUCH AS STRANDS, HS BOLTS, ELASTOMERIC BEARING PADS, JOINT SEALANTS, COUPLERS & WELDED HOOPS, ETC
Location DescriptionFROM 0.1 MILE EAST OF I-5 TO 0.8 MILE EAST OF WATT AVE
QA Service Level1 (Verified on 10/23/2019)

Sample Information

Sample Taken Date03/17/2022 Sample Unique Key72
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 testing03/18/2022
Sample typeQuality Control A brief description of the sample4x8 concrete cylinders
The quantity of what the sample constitutes2 From where was the sample collectedSource
First name of sampler or witnessed byMatthew Last name of sampler or witnessed byAkers
Title of samplerQC Field Technician Telephone number of samplerUnknown
Laboratory sample identificationRDCS-245 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameElite Ready Mix 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 numberCT600
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected0
Concrete batch plantElite Ready Mix The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedUnknown Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-03-17-72-1AASHTO T336-15: Standard Method of Test for Coefficient of Thermal Expansion of Hydraulic Cement ConcreteVance OlsenG3 Quality, Inc. - Cerritos04/18/2022Hysun Lee
No
Info
2022-03-17-72-2AASHTO T336-15: Standard Method of Test for Coefficient of Thermal Expansion of Hydraulic Cement ConcreteVance OlsenG3 Quality, Inc. - Cerritos04/18/2022Hysun Lee
No
Info