Sample Record
Owner Lab
- G3 Quality, Incorporated - Cerritos
DIME Sample ID 2024-04-20-15
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 994425 DEA: 040K5204 EFIS: 0416000098 |
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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 | 04/20/2024 | Sample Unique Key | 15 |
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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 | 04/21/2024 |
Sample type | Quality Control | A brief description of the sample | 1" Rock and 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 | Brent | Last name of sampler or witnessed by | Van-Y |
Title of sampler | QC Field Technician | Telephone number of sampler | |
Laboratory sample identification | Mix HE4X12BM, Set 2 | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | Vanguard Construction | Transportation Laboratory (TL) Number | Unknown |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | 00-0000 |
Structure name |
Material Information
Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-49-0004 |
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The fabricator's/manufacturer's product name for the sample | Set 2 | The fabricator/manufacturer designation for the sample | Unknown |
The plant number | Unknown | A detailed description of where the material sample was collected | Belt Cut |
Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 1 inch |
The concrete mix design number | HE4x12BM | Lot number | 1 |
Sublot number | 1 | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2024-04-20-15-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2024-04-20-15-2 CTM 202-November 2011 (Verified)
DIME Test ID: 2024-04-20-15-3 CTM 217-June 2011 (Verified)
DIME Test ID: 2024-04-20-15-4 CTM 226-July 2010 (Verified)
DIME Test ID: 2024-04-20-15-5 CTM 227-December 2014 (Verified)