DIME - Sample Record for DIME Sample ID 2023-09-21-120

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Sample Record

Owner Lab

G3 Quality, Incorporated - Cerritos

DIME Sample ID 2023-09-21-120

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Project Information

Project Identifiers	Project ID: 994325 DEA: 044J4904 EFIS: 0415000356
DIST-CO-RTE-PM	04-ALA-13-6.7/7.2
Award Date	01/09/2023
Closeout Date	Not set
Work Description	CONSTRUCT CONCRETE BARRIERS AND BARRIER SLAB, COLD PLANE AND OVERLAY.
Location Description	ALAMEDA COUNTY IN OAKLAND FROM 0.2 MILE NORTH OF LINCOLN AVENUE OVERCROSSING TO 0.2 MILE SOUTH OF PARK BOULEVARD OVERCROSSING
QA Service Level	1 (Verified on 10/14/2022)

Sample Information

Sample Taken Date	09/21/2023	Sample Unique Key	120
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	09/22/2023
Sample type	Quality Assurance	A brief description of the sample	4x8 concrete cylinders
The quantity of what the sample constitutes	6 cylinders	From where was the sample collected	Job Site
First name of sampler or witnessed by	Dustin	Last name of sampler or witnessed by	Seibert
Title of sampler	Quality Control Technician	Telephone number of sampler
Laboratory sample identification	Set 2	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Ecoterra Ready Mix	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name

Material Information

Material Type	Concrete	The concrete mix design number	7SK5K1X425F
The truck number from where the sample was collected	Load 12	The batch plant ticket number from where the sample was collected	na
Concrete batch plant		The fabricator/manufacturer designation for the sample	Set 2
A detailed description of where the material sample was collected	S/B 13 south of Park Blvd	Where the material sample would have been placed if not sampled
From Lot No.		Bag Lot No.

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date
2023-09-21-120-1	CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders	Travis Van-Y, G3 Quality, Incorporated - Cerritos	09/28/2023	Emelyne Keay	Yes	12/12/2023
2023-09-21-120-2	CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders	Travis Van-Y, G3 Quality, Incorporated - Cerritos	10/19/2023	Emelyne Keay	Yes	12/12/2023
2023-09-21-120-3	CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement Concrete	Dustin Siebert, G3 Quality, Incorporated - Cerritos	09/21/2023	Emelyne Keay	Yes	12/12/2023
2023-09-21-120-4	CTM 518-June 2010: Method of Test for Unit Weight of Fresh Concrete	Dustin Siebert, G3 Quality, Incorporated - Cerritos	09/21/2023	Emelyne Keay	Yes	12/12/2023
2023-09-21-120-5	CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method	Dustin Siebert, G3 Quality, Incorporated - Cerritos	09/21/2023	Emelyne Keay	Yes	12/12/2023
2023-09-21-120-6	CTM 556-January 2018: Method of Test for Slump of Fresh Portland Cement Concrete	Dustin Siebert, G3 Quality, Incorporated - Cerritos	09/21/2023	Emelyne Keay	Yes	12/12/2023

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2023-09-21-120-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2023-09-21-120-2 CTM 521-June 2020 (Verified)
DIME Test ID: 2023-09-21-120-3 CTM 557-June 2020 (Verified)
DIME Test ID: 2023-09-21-120-4 CTM 518-June 2010 (Verified)
DIME Test ID: 2023-09-21-120-5 CTM 504-June 2010 (Verified)
DIME Test ID: 2023-09-21-120-6 CTM 556-January 2018 (Verified)