Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-10-22-23
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Project Information
| Project Identifiers | Project ID: 214674 DEA: 120N7204 EFIS: 1214000093 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-73-10.0/R28.0 |
| Award Date | 09/16/2020 |
| Closeout Date | Not set |
| Work Description | IN ORANGE COUNTY IN LAGUNA NIGUEL, LAGUNA BEACH, NEWPORT BEACH, ALISO VIEJO, LAGUNA HILLS, IRVINE AND COSTA MESA FROM 0.3 MI SOUTH OF NB 73/SB 5 CONNECTOR TO 0.2 MILE NORTH OF NB 73/NB 405 CONNECTOR. |
| Location Description | UPGRADE SAFETY DEVICES, RELOCATE CONTROL CABINET, CCTV'S & ELECTROLIERS, REMOVE & REPLACE OH SIGN STRUCTURES |
| QA Service Level | 1 (Verified on 10/27/2020) |
Sample Information
| Sample Taken Date | 10/22/2019 | Sample Unique Key | 23 |
|---|---|---|---|
| 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 | 10/22/2019 |
| Sample type | Preliminary | A brief description of the sample | NATIVE SOIL BULK 0-5' DEPTH |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | LAIO | Last name of sampler or witnessed by | QUANYAN |
| Title of sampler | TE CIVIL | Telephone number of sampler | 657-328-6593 |
| Laboratory sample identification | 8784 | Linked DIME Sample ID | 2019-10-22-23 |
| The fabricator/manufacturer/facility name | Native Material | Transportation Laboratory (TL) Number | C17302-1 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | H-19-005 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | Soil | The fabricator's/manufacturer's product name for the sample | Unknown |
|---|---|---|---|
| The fabricator/manufacturer designation for the sample | Unknown | A detailed description of where the material sample was collected | RTE 73 PM10 R28 |
| Where the material sample would have been placed if not sampled | Unknown |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-10-22-23-1 CTM 643-June 2007 (Verified)