Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2026-08-11-95
Sample Details QR Code
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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 | 08/11/2026 | Sample Unique Key | 95 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 08/07/2026 |
| Sample type | Verification | A brief description of the sample | 4x8 concrete cylinders/Concrete Sample |
| The quantity of what the sample constitutes | Three 4x8 cylinders | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Osiel | Last name of sampler or witnessed by | Ramirez |
| Title of sampler | Quality Assurance Inspector | Telephone number of sampler | (916) 767-3535 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Coreslab Structures | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L123-094-26 | Structure unique identifier | |
| Structure name | Bid Item | 68 - FURNISH PRECAST PRESTRESSED CONCRETE DECK PANEL (LIGHTWEIGHT) |
Material Information
| Material Type | Concrete | The concrete mix design number | 2556 hydrolite |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 1 | |
| Concrete batch plant | In house | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | laboratory | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2026-08-11-95-1 ASTM C39-21 (Verified)