Sample Record

Owner Lab

  • CT D04 - Concord Field Laboratory

DIME Sample ID 2024-03-20-40

Project Information

Project IdentifiersProject ID: 993424
DEA: 04281204
EFIS: 0400000769
DIST-CO-RTE-PM04-NAP-29,221-5.5/6.7,0.0/0.2
Award Date03/21/2022
Closeout DateNot set
Work DescriptionHMA, RDWY EXCAVATION, STRUCTURAL CONC AND MODIFYING LIGHTING SYSTEMS.
Location DescriptionNAPA COUNTY NEAR NAPA ON ROUTE 29 FROM 0.7 MILE SOUTH TO 0.5 MILE NORTH OF ROUTE 221 AND ON ROUTE 221 FROM 0.2 MILE NORTH OF ROUTE 29 TO ROUTE 29
QA Service Level1 (Verified on 12/08/2021)

Sample Information

Sample Taken Date03/20/2024 Sample Unique Key40
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 testing03/20/2024
Sample typeQuality Assurance A brief description of the sampleSoil for structure backfill.
The quantity of what the sample constitutes2550 g From where was the sample collectedJob Site
First name of sampler or witnessed byNick Last name of sampler or witnessed byHall
Title of samplerMaterial Technician Telephone number of sampler707-299-9133
Laboratory sample identificationCon_24_104 Linked DIME Sample ID
The fabricator/manufacturer/facility nameNative 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 collectedSTA 116+55 to STA 116+80
Where the material sample would have been placed if not sampled

Submitted Tests

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