Sample Record

DIME Sample ID 2023-03-29-2

Project Information

Project IdentifiersProject ID: 993815
DEA: 081C0814
EFIS: 0816000086
DIST-CO-RTE-PM08-RIV-10-R60.7/R74.3
Award Date03/28/2022
Closeout Date01/21/2026
Work DescriptionI-10 PAVEMENT REHABILITATION (SEGMENT 1) PROJECT
Location DescriptionCoachella
QA Service Level1 (Verified on 05/03/2022)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date03/29/2023 Sample Unique Key2
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typePer Request
A brief description of the sampleWater sample from Well at Contractor Yard The quantity of what the sample constitutes3 Jugs
From where was the sample collectedJob Site First name of sampler or witnessed byNicholas
Last name of sampler or witnessed byHoffmann Title of samplerAssistant RE
Telephone number of sampler8562611057 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameCoffman
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
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 collectedCollected from end of garden hose connected to Well

Submitted Tests

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