Sample Record

Owner Lab

  • G3 Quality, Incorporated - Cerritos

DIME Sample ID 2023-03-03-66

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214663
DEA: 081F7304
EFIS: 0815000034
DIST-CO-RTE-PM08-SBD-215-2.7
Award DateNot set
Closeout DateNot set
Work DescriptionREPLACE CONCRETE BRIDGE, PLACE CONCRETE PCPS GIRDERS AND HMA.
Location DescriptionSAN BERNARDINO COUNTY IN COLTON AT WASHINGTON STREET OVERCROSSING
QA Service Level1 (Verified on 02/24/2021)

Sample Information

Sample Taken Date03/03/2023 Sample Unique Key66
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 testing03/04/2023
Sample typeQuality Control A brief description of the sample1in, 3/8 in, WCS
The quantity of what the sample constitutes1 Bag From where was the sample collectedJob Site
First name of sampler or witnessed byAdrian Last name of sampler or witnessed byLopez
Title of samplerQC Field Technician Telephone number of sampler
Laboratory sample identificationMix 1610838 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameJob site Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifier00-0000
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-36-0040
The fabricator's/manufacturer's product name for the sampleSet 1 The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedBelt
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design number1610838 Lot number1
Sublot number1 Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-03-03-66-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesAdrian Lopez, G3 Quality, Incorporated - Cerritos03/04/2023Emelyne Keay
Yes
08/08/2023
2023-03-03-66-2CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesAdrian Lopez, G3 Quality, Incorporated - Cerritos03/04/2023Emelyne Keay
Yes
08/08/2023
2023-03-03-66-3CTM 217-June 2011: Method of Test for Sand EquivalentAdrian Lopez, G3 Quality, Incorporated - Cerritos03/04/2023Emelyne Keay
Yes
08/08/2023
2023-03-03-66-4CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven DryingAdrian Lopez, G3 Quality, Incorporated - Cerritos03/04/2023Emelyne Keay
Yes
08/08/2023
2023-03-03-66-5CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Adrian Lopez, G3 Quality, Incorporated - Cerritos03/04/2023Emelyne Keay
Yes
08/08/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-03-03-66-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-03-03-66-2 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-03-03-66-3 CTM 217-June 2011 (Verified)
DIME Test ID: 2023-03-03-66-4 CTM 226-July 2010 (Verified)
DIME Test ID: 2023-03-03-66-5 CTM 227-December 2014 (Verified)