Sample Record

Owner Lab

  • CT D05 - Whitley Gardens Field Laboratory

DIME Sample ID 2022-07-01-3

Project Information

Project IdentifiersProject ID: 212246
DEA: 053307A4
EFIS: 0514000027
DIST-CO-RTE-PM05-SLO-46-49.7/54.6
Award Date02/16/2022
Closeout Date09/02/2025
Work DescriptionCholame Segment
Location DescriptionNot set
QA Service Level1 (Verified on 09/30/2019)

Sample Information

Sample Taken Date07/01/2022 Sample Unique Key3
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 testing07/01/2022
Sample typeQuality Assurance A brief description of the sampleStructure backfill 3 shot
The quantity of what the sample constitutesStation 1150+00-1150+60 @ 115' From where was the sample collectedJob Site
First name of sampler or witnessed byBrandon Last name of sampler or witnessed byWood
Title of samplerTET Telephone number of sampler8056102729
Laboratory sample identification37094DS46abcdef Linked DIME Sample ID
The fabricator/manufacturer/facility nameNative Material for Structure Backfill Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSoil 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 collectedFrom the Native Subgrade
Where the material sample would have been placed if not sampled

Submitted Tests

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

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Test File Attachments