Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2019-11-18-5

Project Information

Project IdentifiersProject ID: 214216
DEA: 071XM404
EFIS: 0719000232
Award DateNot set
Closeout DateNot set
Work DescriptionThis is the emergency project to repair pavement cracking, stabilize the eroded slope, construct a soldier pile tieback wall and reconstruct the steel post MGS
Location DescriptionVentura County on Route 33 at PM.22.16.
QA Service Level1 (Verified on 08/27/2019)

Sample Information

Sample Taken Date11/18/2019 Sample Unique Key5
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 testing11/20/2019
Sample typeQuality Assurance A brief description of the sampleNative Soil
The quantity of what the sample constitutes2 bags From where was the sample collectedJob Site
First name of sampler or witnessed byJOSE Last name of sampler or witnessed byGUZMAN
Title of samplerMREA Telephone number of sampler
Laboratory sample identification8897 Linked DIME Sample ID
The fabricator/manufacturer/facility nameNative Material Transportation Laboratory (TL) NumberC394112
Inspector Lot Number from the Transportation Laboratory (TL) FormSTOCK PILE PM 22 25 Structure unique identifier
Structure name

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 collectedSTOCKPILE PM 22.25
Where the material sample would have been placed if not sampledUnknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-11-18-5-5CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesJUAN A LEROYCT - Southern Regional Laboratory11/20/2019Jose Mendez
2019-11-18-5-6CTM 204-June 2010: Method of Test for Liquid Limit, Plastic Limit and Plasticity Index of Soils (Plasticity Index)TESS PEREZCT - Southern Regional Laboratory11/21/2019Jose Mendez
2019-11-18-5-7CTM 217-June 2011: Method of Test for Sand EquivalentJUAN A LEROYCT - Southern Regional Laboratory11/20/2019Jose Mendez