Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-05-14-9
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Project Information
| Project Identifiers | Project ID: 214341 DEA: 081J2004 EFIS: 0817000237 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-15-R21.5/R22.0 |
| Award Date | 11/16/2021 |
| Closeout Date | Not set |
| Work Description | EXTEND DECELARATION LANE |
| Location Description | SAN BERNARDINO COUNTY NEAR HESPERIA FROM 0.1 MILE NORTH OF ROUTE 15/138 SEPARATION TO GISH OVERHEAD |
| QA Service Level | 1 (Verified on 06/23/2021) |
Sample Information
| Sample Taken Date | 05/14/2019 | Sample Unique Key | 9 |
|---|---|---|---|
| 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 | 06/12/2019 |
| Sample type | Per Request | A brief description of the sample | Soil |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Shadi | Last name of sampler or witnessed by | Dweab |
| Title of sampler | TE | Telephone number of sampler | 657-328-6367 |
| Laboratory sample identification | 8609 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Caltrans | Transportation Laboratory (TL) Number | S-17300-1 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | 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 | R-19-002, I-15 SB, PM 21.5-22.0 |
| 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: 2019-05-14-9-2 CTM 204-June 2010 (Verified)