Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2026-03-12-9

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 Date03/12/2026 Sample Unique Key9
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 testing03/12/2026
Sample typeQuality Assurance A brief description of the sampleCoarse and fine aggregate
The quantity of what the sample constitutes3 bags of 3/8 size coarse agg and 1 bag of Fine agg 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 identification1088-224EQ 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 TypeAggregate Source Identification (SMARA, name of Pit or Job Site)3/8"- Hydrolyte, 3/8" Utlite, 3/8"- P Gravel and Hudrolite -Sand
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedCoreslab stockpile
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/8 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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