Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2017-09-20-15

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212794
DEA: 024F7804
EFIS: 0213000032
DIST-CO-RTE-PM02-SHA,LAS,PLU,SHA,SIS,TRI-5-22087-25.7
Award Date12/20/2018
Closeout DateNot set
Work DescriptionCMS SIGNS IN SHASTA COUNTY
Location DescriptionIN BUTTE, LASSEN, PLUMAS, SHASTA, SISKIYOU AND TRINITY COUNTIES IN VARIOUS LOCATIONS.
QA Service Level1 (Verified on 01/08/2019)

Sample Information

Sample Taken Date09/20/2017 Sample Unique Key15
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 testing10/10/2017
Sample typeQuality Control A brief description of the sampleStructure foundation
The quantity of what the sample constitutes1 bag From where was the sample collectedJob Site
First name of sampler or witnessed byMichael Last name of sampler or witnessed byMifkovic
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification17SOIL-0290 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameNA Transportation Laboratory (TL) NumberC875111
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSoil The fabricator's/manufacturer's product name for the sampleUnknown
The fabricator/manufacturer designation for the sampleUnknown A detailed description of where the material sample was collectedRC-17-002
Where the material sample would have been placed if not sampled0 to 5 ft

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2017-09-20-15-1AGGLP SIEVE_ANALYSIS-1: Soils for Corrosion Sieve AnalysisPhillip MontesCT HQ - Sacramento Aggregate Testing Laboratory10/19/2017Phillip Montes
Yes
10/19/2017