Sample Record
Owner Lab
- CT D04 - Concord Field Laboratory
DIME Sample ID 2019-10-25-20
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Project Information
| Project Identifiers | Project ID: 210617 DEA: 042J1004 EFIS: 0414000426 COOP: 042549 |
|---|---|
| DIST-CO-RTE-PM | 04-NAP-29-11.3/11.6 |
| Award Date | 02/27/2019 |
| Closeout Date | 09/28/2021 |
| Work Description | CONSTRUCT TWO SEPARATE ROUNDABOUT PROJECTS TOGETHER INTO ONE SINGLE PROJECT AND CONSTRUCTION CONTRACT. |
| Location Description | AT THE INTERSECTIONS OF FIRST STREET/ CALIFORNIA BLVD AND SECOND STREET/CALIFORNIA BLVD (CITY) AND AT HE STATE ROUTE 29 NORTHBOUND ON AND OFF RAMPS AND FIRST STREET ( CALTRANS) |
| QA Service Level | 1 (Verified on 08/19/2019) |
Sample Information
| Sample Taken Date | 10/25/2019 | Sample Unique Key | 20 |
|---|---|---|---|
| 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 | 10/25/2019 |
| Sample type | Acceptance | A brief description of the sample | Native Structure Backfill Material |
| The quantity of what the sample constitutes | 2 bags | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Ignacio | Last name of sampler or witnessed by | Arechiga |
| Title of sampler | Consultant Tester | Telephone number of sampler | 510-207-7252 |
| Laboratory sample identification | Con_19_689 | Linked DIME Sample ID | NA |
| The fabricator/manufacturer/facility name | OC Jones | Transportation Laboratory (TL) Number | NA |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | NA | Structure unique identifier | 28-Napa |
| Structure name | Jim Adair |
Material Information
| Material Type | Soil | The fabricator's/manufacturer's product name for the sample | Structure Backfill |
|---|---|---|---|
| The fabricator/manufacturer designation for the sample | NA | A detailed description of where the material sample was collected | Job Site Windrow |
| Where the material sample would have been placed if not sampled | Stockfile |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||