Sample Record

Owner Lab

  • G3 Quality, Inc. - Cerritos

DIME Sample ID 2016-06-09-12

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 209141
DEA: 07215954
EFIS: 0700001835
DIST-CO-RTE-PM07-LA-5-0.0/7.6
Award Date04/24/2014
Closeout DateNot set
Work DescriptionWIDENING FREEWAY AND RECONSTRUCT OVERHEAD AND OVERCROSSING STRUCTURES
Location DescriptionLOS ANGELES COUNTY IN LA MIRADA, SANTA FE SPRINGS, NORWALK AND DOWNEY FROM ORANGE COUNTY/LOS ANGELES COUNTY LIMIT LINES TO 0.7 MILE NORTH OF ROUTE 605
QA Service Level1 (Verified on 06/02/2014)

Sample Information

Sample Taken Date06/09/2016 Sample Unique Key12
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 testing06/10/2016
Sample typeQuality Control A brief description of the samplerock and sand
The quantity of what the sample constitutes1 Bags From where was the sample collectedSource
First name of sampler or witnessed byMary Last name of sampler or witnessed byGreer
Title of samplerQC Field Technician Telephone number of samplerUnknown
Laboratory sample identificationMix S62578 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameNational Artesia Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-33-0027
The fabricator's/manufacturer's product name for the sampleset 1 The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedBelt
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size1-1/2 inch
The concrete mix design numberS62578 Lot numberNot set
Sublot numberNot set HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2016-06-09-12-1CTM 202-November 2014: Method of Test for Determining Sieve Analysis of Fine and Coarse AggregatesBryce TrudeauG3 Quality, Inc. - Cerritos06/10/2016Nick Schaefer
Yes
01/13/2017
2016-06-09-12-2CTM 202-November 2014: Method of Test for Determining Sieve Analysis of Fine and Coarse AggregatesBryce TrudeauG3 Quality, Inc. - Cerritos06/10/2016Nick Schaefer
Yes
01/13/2017
2016-06-09-12-3CTM 217-November 2014: Method of Test for Sand EquivalentBryce TrudeauG3 Quality, Inc. - Cerritos06/10/2016Nick Schaefer
Yes
01/13/2017
2016-06-09-12-4CTM 226-July 2010: Method for Moisture Content of Soils and Aggregates by Oven DryingBryce TrudeauG3 Quality, Inc. - Cerritos06/10/2016Nick Schaefer
Yes
01/13/2017
2016-06-09-12-5CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Bryce TrudeauG3 Quality, Inc. - Cerritos06/10/2016Nick Schaefer
Yes
01/13/2017