DIME - Sample Record for DIME Sample ID 2023-10-06-56

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Sample Record

Owner Lab

G3 Quality, Incorporated - Cerritos

DIME Sample ID 2023-10-06-56

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Project Information

Project Identifiers	Project ID: 993141 DEA: 060V1204 EFIS: 0616000207
DIST-CO-RTE-PM	06-MAD-99-R6.9/R7.6
Award Date	06/22/2022
Closeout Date	Not set
Work Description	Cottonwood Creek Bridge Replacement - REPLACE BRIDGES AND CONSTRUCT RETAINING WALLS.
Location Description	MADERA COUNTY NEAR MADERA FROM 0.4 MILE SOUTH OF COTTONWOOD CREEK BRIDGE TO 0.1 MILE NORTH OF AVENUE 12 OVERCROSSING
QA Service Level	1 (Verified on 07/28/2021)

Sample Information

Sample Taken Date	10/06/2023	Sample Unique Key	56
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	10/07/2023
Sample type	Quality Assurance	A brief description of the sample	1", 3/8" WCS
The quantity of what the sample constitutes	1 bag	From where was the sample collected	Job Site
First name of sampler or witnessed by	Rafael	Last name of sampler or witnessed by	Duenas
Title of sampler	QC Field Technician	Telephone number of sampler
Laboratory sample identification	Mix D20119EA	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Central Concrete -Pleasanton	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name

Material Information

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	91-10-0010
The fabricator's/manufacturer's product name for the sample		The fabricator/manufacturer designation for the sample	Set 1
The plant number		A detailed description of where the material sample was collected	Belt cut
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	1 inch
The concrete mix design number	D20119EA	Lot number	1
Sublot number	1	Aggregate Mix Number

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date
2023-10-06-56-1	CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates	Travis Van-Y, G3 Quality, Incorporated - Cerritos	10/07/2023	Emelyne Keay	Yes	11/06/2023
2023-10-06-56-2	CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates	Tra, G3 Quality, Incorporated - Cerritos	10/07/2023	Emelyne Keay	Yes	11/06/2023
2023-10-06-56-3	CTM 217-June 2011: Method of Test for Sand Equivalent	Tra, G3 Quality, Incorporated - Cerritos	10/07/2023	Emelyne Keay	Yes	11/06/2023
2023-10-06-56-4	CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven Drying	Travis Van-Y, G3 Quality, Incorporated - Cerritos	10/07/2023	Emelyne Keay	Yes	11/06/2023
2023-10-06-56-5	CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)	Travis Van-Y, G3 Quality, Incorporated - Cerritos	10/07/2023	Emelyne Keay	Yes	11/06/2023

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2023-10-06-56-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-10-06-56-2 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-10-06-56-3 CTM 217-June 2011 (Verified)
DIME Test ID: 2023-10-06-56-4 CTM 226-July 2010 (Verified)
DIME Test ID: 2023-10-06-56-5 CTM 227-December 2014 (Verified)