Sample Record
Owner Lab
- CT D02 - North Region Materials Lab
DIME Sample ID 2020-02-03-10
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 214681 DEA: 021H5104 EFIS: 0216000148 |
|---|---|
| DIST-CO-RTE-PM | 02-TEH-99-9.0/9.3 |
| Award Date | 11/04/2021 |
| Closeout Date | Not set |
| Work Description | CHAMPLIN SLOUGH |
| Location Description | REPLACE BRIDGE IN TEHAMA COUNTY NEAR LOS MOLINOS FROM 0.2 MILE SOUTH TO 0.2 MILE NORTH OF CHAMPLIN SLOUGH |
| QA Service Level | 1 (Verified on 03/02/2020) |
Sample Information
| Sample Taken Date | 02/03/2020 | Sample Unique Key | 10 |
|---|---|---|---|
| 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 | 02/04/2020 |
| Sample type | Preliminary | A brief description of the sample | Soil |
| The quantity of what the sample constitutes | Structural Section Recomendation | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Brian | Last name of sampler or witnessed by | Steiner |
| Title of sampler | AAME | Telephone number of sampler | |
| Laboratory sample identification | D78326 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | In Situ | Transportation Laboratory (TL) Number | 824578 |
| 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 | 02-TEH-99-9.25, Embankment, 0.5 - 1.0 foot Depth |
| Where the material sample would have been placed if not sampled | Unknown |