Sample Record

DIME Sample ID 2021-10-14-8

Project Information

Project IdentifiersProject ID: 993292
DEA: 041W7501
EFIS: 0421000091
DIST-CO-RTE-PM04-SON-121-
Award DateNot set
Closeout DateNot set
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 10/01/2021)

Owner Labs

  • CT HQ - Sacramento Materials Management Branch Field Office
  • CT HQ - QASI Bay Area Field Office

Sample Information

Sample Taken Date10/14/2021 Sample Unique Key8
Date that the sample was received by the laboratory/organization performing the testing10/15/2021 Sample typePer Request
A brief description of the samplewater sample from the inlet of the culvert The quantity of what the sample constitutes1 bottle apprx 120ml
From where was the sample collectedSource First name of sampler or witnessed byWaqas
Last name of sampler or witnessed byAther Title of samplerMETS Rep
Telephone number of sampler6099681702 Laboratory sample identification
Linked DIME Sample ID2021-10-14-6 The fabricator/manufacturer/facility nameField
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormB388
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeWater Sample is potable waterNo
A detailed description of where the material sample was collectedPM 4.07 , 38.2034 E, -122.2449N

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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