Sample Record
Owner Lab
- CT D04 - San Jose Construction Field Laboratory
DIME Sample ID 2025-06-11-65
Project Information
| Project Identifiers | Project ID: 993678 DEA: 042Q8004 EFIS: 0419000050 COOP: 042836,042944 |
|---|---|
| DIST-CO-RTE-PM | 04-SM-101,92-US 101 & SR 92-10.9/12.1 & 11.8/13.4 |
| Award Date | 01/22/2025 |
| Closeout Date | Not set |
| Work Description | US 101/SR 92 INTERCHANGE AREA IMPROVEMENT :PROJECT WILL CONSTRUCT CONGESTION RELIEF IMPROVEMENTS AT THE US 101/SR 92 INTERCHANGE AREA. |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 09/15/2022) |
Sample Information
| Sample Taken Date | 06/11/2025 | Sample Unique Key | 65 |
|---|---|---|---|
| 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 | 06/11/2025 |
| Sample type | Quality Assurance | A brief description of the sample | Native AB Backfill |
| The quantity of what the sample constitutes | 2600g | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Fernando | Last name of sampler or witnessed by | Vega |
| Title of sampler | MREA | Telephone number of sampler | |
| Laboratory sample identification | SJ-061125-BF1 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Native Material | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Hwy 92 WB Lt "FI" Line Drainage System No. 2 | Bid Item | Not set |
Material Information
| Material Type | Soil | The fabricator's/manufacturer's product name for the sample | |
|---|---|---|---|
| The fabricator/manufacturer designation for the sample | A detailed description of where the material sample was collected | Jobsite - Compacted Native backfill | |
| Where the material sample would have been placed if not sampled |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2025-06-11-65-1 CTM 231-March 2013 (Verified)
DIME Test ID: 2025-06-11-65-2 CTM 216-June 2011 (Verified)
