Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001214 DEA: 072XS304 EFIS: 0725000180
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA--36-41
Work Description:
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2025-12-10-4
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Verification
Type of Material: Concrete Core
Sample Taken Date: 12/10/2025
Date that the sample was received by the laboratory/organization performing the testing: 12/11/2025
The quantity of what the sample constitutes: 3 cores
A brief description of the sample: struts
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Field
Detail description: 3inch concrete cores of the reinforced concrete struts from various locations
Structure names: Porto Marina Earth Retaining Wall
Type of material: Reinforced Concrete struts
DIME Test ID: 2025-12-10-4-1
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Organization Address: 13230 East Firestone Boulevard,
Organization City: Santa Fe Springs
Organization State: CA
Organization Zipcode: 90670
Organization Email: adriana.ortiz@dot.ca.gov
Organization Phone: (323) 805-3068
Data has not been verified.
