Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-09-11-28
Project Information
Project Identifiers | Project ID: 214669 DEA: 07325504 EFIS: 0716000085 |
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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 | 28 |
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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 | 11/23/2019 |
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 | 8914 | Linked DIME Sample ID | 2019-09-11-28 |
The fabricator/manufacturer/facility name | Native soil | Transportation Laboratory (TL) Number | C4685703 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | A-19-004 | Structure unique identifier | |
Structure name |
Material Information
Material Type | Soil | The fabricator's/manufacturer's product name for the sample | Unknown |
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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
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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2019-09-11-28-1 | CTM 643-June 2007: Method for Determining Field and Laboratory Resistivity and pH Measurements for Soil and Water | KIET PHAN, CT D08 - Fontana Southern Regional Laboratory | 12/03/2019 | Jose Mendez | No | Info |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2019-09-11-28-1 CTM 643-June 2007