Sample Record

Owner Lab

  • G3 Quality, Incorporated - Cerritos

DIME Sample ID 2015-05-19-6

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 Date07/14/2022
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 Date05/19/2015 Sample Unique Key6
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 testing05/19/2015
Sample typeQuality Control A brief description of the sampleCIDH PCC Aggs
The quantity of what the sample constitutes2 bags From where was the sample collectedOther
First name of sampler or witnessed byPaul Last name of sampler or witnessed byWest
Title of samplerQC Field Technician Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameCemex Azusa Quarry Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)CEMEX AZUSA
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedBelts
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size
The concrete mix design number Lot numberNot set
Sublot numberNot set Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2015-05-19-6-1CTM 202-Oct 2014: Method of Test for Determining Sieve Analysis of Fine and Coarse AggregatesPeter Rice, G3 Quality, Incorporated - Cerritos05/19/2015Brian Platt
Yes
06/22/2015
2015-05-19-6-2CTM 202-Oct 2014: Method of Test for Determining Sieve Analysis of Fine and Coarse AggregatesPeter Rice, G3 Quality, Incorporated - Cerritos05/19/2015Brian Platt
Yes
06/22/2015

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2015-05-19-6-1 CTM 202-Oct 2014 (Verified)
DIME Test ID: 2015-05-19-6-2 CTM 202-Oct 2014 (Verified)