Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2026-02-24-1

Project Information

Project IdentifiersProject ID: 994675
DEA: 07390204
EFIS: 0722000334
DIST-CO-RTE-PM07-LA-47-0.4 / 2.1
Award Date01/24/2025
Closeout DateNot set
Work DescriptionBridge deck replacement with lightweight precast deck panels ultra high performance concrete. Also includes: replacement of seismic sensors, upgrades to median barrier, railings, fences and guard rails. New finger joints.
Location DescriptionRTE 47 between Terminal Island and San Pedro PM 0.4/2.1
QA Service Level1 (Verified on 08/07/2023)

Sample Information

Sample Taken Date02/24/2026 Sample Unique Key1
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 testing02/25/2026
Sample typeQuality Assurance A brief description of the sampleConcrete Cylinders
The quantity of what the sample constitutes6 - 4x8 concrete cylinders From where was the sample collectedFabricator
First name of sampler or witnessed bySubramony Last name of sampler or witnessed byKrishnamoorthy
Title of sampler Telephone number of sampler
Laboratory sample identification1088-224 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCoreslab Strcutures Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number2556-1-TB
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected2556
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedSCC- Light weight concrete Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

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