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Sample Record for 2024-09-16-11

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 77777 DEA: CHEM-STOCK EFIS: CHEM-STOCK QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for Chem Lab stock material. Object Code: 1025. J2 DEA: 912680.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2024-09-16-11
TL Number from the TL Form: C003277
Sample Submitted By Organization: CT HQ - Sacramento Chemistry Laboratory
Sample Organization Contact: (916) 227-7912
Type of Sample: Preliminary
Type of Material: Soil
Sample Taken Date: 09/16/2024
Date that the sample was received by the laboratory/organization performing the testing: 09/16/2024
The quantity of what the sample constitutes: 109 g
A brief description of the sample: Soil
From where was the sample collected: Other
Laboratory sample identification: C241459
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Corrosion Lab

Material Information

The fabricator's/manufacturer's product name for the sample: Soil
The fabricator/manufacturer designation for the sample: CR20240394
A detailed description of where the material sample was collected: Corrosion Lab
Where the material sample would have been placed if not sampled:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2024-09-16-11-1
Test Method: CTM 417-June 2014: Method of Testing Soils and Waters for Sulfate Content
Verified Date: 09/19/2024
Date Tested: 09/18/2024
Submitted By Organization: CT HQ - Sacramento Chemistry Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: sanchita.dey@dot.ca.gov
Organization Phone: (916) 227-7912
General Comments for this Test: rush 0719000376.0.160
Test Result Compliance:
Additional Comments When Verified:
Material type Soils
Amount of the analyte in the sample 3500

Test 2 of 2

DIME Test ID: 2024-09-16-11-2
Test Method: CTM 422-June 2014: Method of Testing Soils and Waters for Chloride Content
Verified Date: 09/19/2024
Date Tested: 09/18/2024
Submitted By Organization: CT HQ - Sacramento Chemistry Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: sanchita.dey@dot.ca.gov
Organization Phone: (916) 227-7912
General Comments for this Test: rush 0719000376.0.160
Test Result Compliance:
Additional Comments When Verified:
Material type Soils
Amount of the analyte in the sample 12