Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-09-11-27
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Project Information
| Project Identifiers | Project ID: 214669 DEA: 07325504 EFIS: 0716000085 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-605- |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Slab Replacement and Shoulder Resurfacing |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 07/12/2021) |
Sample Information
| Sample Taken Date | 09/11/2019 | Sample Unique Key | 27 |
|---|---|---|---|
| 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 | 10/29/2019 |
| Sample type | Preliminary | A brief description of the sample | Native Soil |
| The quantity of what the sample constitutes | 1 BAG | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | MOHAMMED | Last name of sampler or witnessed by | IQBAL |
| Title of sampler | Engineering Geologist | Telephone number of sampler | 2136202339 |
| Laboratory sample identification | 8790 | Linked DIME Sample ID | 2019-09-11-27 |
| The fabricator/manufacturer/facility name | Native soil | Transportation Laboratory (TL) Number | C4685701 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | A-19-004 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Soil | The fabricator's/manufacturer's product name for the sample | Unknown |
|---|---|---|---|
| The fabricator/manufacturer designation for the sample | Unknown | A detailed description of where the material sample was collected | 0 25FT DEPTH NATIVE SOIL |
| Where the material sample would have been placed if not sampled | Unknown |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-09-11-27-1 CTM 643-June 2007 (Verified)