Sample Record

Owner Lab

  • G3 Quality, Incorporated - Cerritos

DIME Sample ID 2016-09-14-7

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 Date07/14/2022
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 Date09/14/2016 Sample Unique Key7
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 testing09/14/2016
Sample typeQuality Control A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes6 From where was the sample collectedJob Site
First name of sampler or witnessed byAaron Last name of sampler or witnessed byLaughlin
Title of samplerQC Field Technician Telephone number of samplerUnknown
Laboratory sample identificationSet 1 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameJobsite Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure nameAbut 1

Material Information

Material TypeConcrete The concrete mix design numberG3-15-3600
The truck number from where the sample was collectedLoad 1 The batch plant ticket number from where the sample was collected0
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleSet 1
A detailed description of where the material sample was collectedRW 330 Where the material sample would have been placed if not sampledOrr and Day at Cresson
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2016-09-14-7-1ASTM C143-15a: Standard Test Method for Slump of Hydraulic-Cement ConcreteAaron Laughlin, G3 Quality, Incorporated - Cerritos09/14/2016Nick Schaefer
Yes
01/13/2017

Sample File Attachments

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Test File Attachments


DIME Test ID: 2016-09-14-7-1 ASTM C143-15a (Verified)