Sample Record
Owner Lab
- G3 Quality, Incorporated - Cerritos
DIME Sample ID 2024-01-27-13
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Project Information
| Project Identifiers | Project ID: 994425 DEA: 040K5204 EFIS: 0416000098 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-12-11.0/T17.4 |
| Award Date | 03/21/2023 |
| Closeout Date | Not set |
| Work Description | Overlay with RHMA, replace guardrails, approach slabs and signs. |
| Location Description | Construction on State Highway in Sonoma County from Llano Road to Farmers Lane. |
| QA Service Level | 1 (Verified on 12/07/2022) |
Sample Information
| Sample Taken Date | 01/27/2024 | Sample Unique Key | 13 |
|---|---|---|---|
| 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 | 01/27/2024 |
| Sample type | Quality Control | A brief description of the sample | 1" rock and sand |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Source |
| First name of sampler or witnessed by | Brent | Last name of sampler or witnessed by | Van-Y |
| Title of sampler | QC Field Technician | Telephone number of sampler | |
| Laboratory sample identification | HE4X12BM Set 2 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Vanguard Construction | 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) | 91-49-0004 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Set 2 | The fabricator/manufacturer designation for the sample | |
| 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 | HE4x12BM | Lot number | |
| Sublot number | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-01-27-13-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2024-01-27-13-2 CTM 202-November 2011 (Verified)
DIME Test ID: 2024-01-27-13-3 CTM 227-December 2014 (Verified)
DIME Test ID: 2024-01-27-13-4 CTM 217-June 2011 (Verified)
DIME Test ID: 2024-01-27-13-5 CTM 226-July 2010 (Verified)