Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2017-10-16-4

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212423
DEA: 010H2104
EFIS: 0117000130
DIST-CO-RTE-PM01-MEN,LAK/MEN,LAK,MEN-175-5.9,5.0/9.0, 0.5/3.0, 5.0/9.0 , 0.5/6.5, 5.0/9.0
Award Date04/10/2017
Closeout Date04/15/2021
Work DescriptionStorm repairs near Hopland & slide and slipout repair
Location DescriptionIn Mendocino County near Hopland from 1 mile east of Buckman Dr.-Rd. 105B to 0.3 mile east of motorcycle park entrance
QA Service Level1 (Verified on 05/31/2017)

Sample Information

Sample Taken Date10/16/2017 Sample Unique Key4
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 testing10/25/2017
Sample typeQuality Control A brief description of the sampleRetaining wall
The quantity of what the sample constitutes1 bag From where was the sample collectedJob Site
First name of sampler or witnessed byJohn Last name of sampler or witnessed byMoore
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification17SOIL-0313 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameNA Transportation Laboratory (TL) NumberC633981
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 collectedA-17-101
Where the material sample would have been placed if not sampled20 to 25 ft

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2017-10-16-4-1AGGLP SIEVE_ANALYSIS-1: Soils for Corrosion Sieve AnalysisPhillip Montes, CT HQ - Sacramento Aggregate Testing Laboratory10/25/2017Phillip Montes
Yes
10/25/2017

Sample File Attachments

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Test File Attachments


DIME Test ID: 2017-10-16-4-1 AGGLP SIEVE_ANALYSIS-1 (Verified)