Sample Record

Owner Lab

  • CT D05 - Field Laboratory

DIME Sample ID 2020-05-19-18

Sample is locked from editing.

Project Information

Project IdentifiersProject ID: 215016
DEA: 051M5904
EFIS: 0520000032
DIST-CO-RTE-PM05-SBT-192-20.1
Award Date12/02/2019
Closeout DateNot set
Work DescriptionSB192 Culvert Replacement - Drainage System Restoration
Location DescriptionPostmile: SB 20.1/SB 20.1 Statewide Odometer: 20.073/20.073
QA Service Level1 (Verified on 09/03/2020)

Sample Information

Sample Taken Date05/19/2020 Sample Unique Key18
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 testing05/19/2020
Sample typeInformational A brief description of the sample1 Bag Soil
The quantity of what the sample constitutesNative Basement Material From where was the sample collectedJob Site
First name of sampler or witnessed byJacob Last name of sampler or witnessed byBerven
Title of sampler Telephone number of sampler
Laboratory sample identificationD5 20-D-019 Linked DIME Sample ID
The fabricator/manufacturer/facility nameMother Earth Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form 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 collected10 feet from EB EP
Where the material sample would have been placed if not sampledUnknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-05-19-18-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesDaniel GingrasCT D05 - Field Laboratory05/26/2020Daniel Gingras
Yes
05/29/2020
2020-05-19-18-2CTM 204-June 2010: Method of Test for Liquid Limit, Plastic Limit and Plasticity Index of Soils (Plasticity Index)Daniel GingrasCT D05 - Field Laboratory05/29/2020Daniel Gingras
Yes
05/29/2020
2020-05-19-18-3CTM 301-March 2000: Method of Test for Determining the Resistance "R"; Value of Treated and Untreated Bases, Subbases, and Basement Soils by the StabilometerDaniel GingrasCT D05 - Field Laboratory05/23/2020Daniel Gingras
Yes
05/29/2020

Test Card Drafts

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