Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2026-03-12-8
Project Information
| Project Identifiers | Project ID: 994675 DEA: 07390204 EFIS: 0722000334 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-47-0.4 / 2.1 |
| Award Date | 01/24/2025 |
| Closeout Date | Not set |
| Work Description | Bridge 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 Description | RTE 47 between Terminal Island and San Pedro PM 0.4/2.1 |
| QA Service Level | 1 (Verified on 08/07/2023) |
Sample Information
| Sample Taken Date | 03/12/2026 | Sample Unique Key | 8 |
|---|---|---|---|
| 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 | 03/12/2026 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete Cylinders |
| The quantity of what the sample constitutes | 3- 6x12 Concrete cylinders | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Subramony | Last name of sampler or witnessed by | Krishnamoorthy |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 1088-224EQ | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Coreslab Strcutures | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 2556-1-TB |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 2556 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | SCC- Light weight concrete | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
