Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2017-09-19-16
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Project Information
| Project Identifiers | Project ID: 212794 DEA: 024F7804 EFIS: 0213000032 |
|---|---|
| DIST-CO-RTE-PM | 02-SHA,LAS,PLU,SHA,SIS,TRI-5-22087-25.7 |
| Award Date | 12/20/2018 |
| Closeout Date | 10/20/2021 |
| Work Description | CMS SIGNS IN SHASTA COUNTY |
| Location Description | IN BUTTE, LASSEN, PLUMAS, SHASTA, SISKIYOU AND TRINITY COUNTIES IN VARIOUS LOCATIONS. |
| QA Service Level | 1 (Verified on 01/08/2019) |
Sample Information
| Sample Taken Date | 09/19/2017 | Sample Unique Key | 16 |
|---|---|---|---|
| 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 | 10/10/2017 |
| Sample type | Quality Control | A brief description of the sample | Structure foundation |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Michael | Last name of sampler or witnessed by | Mifkovic |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | 17SOIL-0289 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | NA | Transportation Laboratory (TL) Number | C875110 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
| Structure name | Not set |
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 | RC-17-001 |
| Where the material sample would have been placed if not sampled | 0 to 5 ft |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-09-19-16-1 AGGLP SIEVE_ANALYSIS-1 (Verified)