Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2017-11-28-4
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Project Information
| Project Identifiers | Project ID: 212962 DEA: 100W6204 EFIS: 1012000020 |
|---|---|
| DIST-CO-RTE-PM | 10-MER-5-0.4/0.9 |
| Award Date | 01/23/2020 |
| Closeout Date | 10/21/2022 |
| Work Description | Erreca Rest Area Wastewater System |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 03/13/2020) |
Sample Information
| Sample Taken Date | 11/28/2017 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | 12/13/2017 |
| Sample type | Preliminary | A brief description of the sample | Soil |
| The quantity of what the sample constitutes | 1 Bucket | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Mark | Last name of sampler or witnessed by | Hagy |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | 17SOIL-0371 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | NA | Transportation Laboratory (TL) Number | C835558 |
| 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 | Borings A-17-001, -002, -003 |
| 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: 2017-11-28-4-1 CTM 202-November 2011 (Verified)