Sample Record
Owner Lab
- CT D05 - San Luis Obispo District Laboratory
DIME Sample ID 2020-05-22-10
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Project Information
| Project Identifiers | Project ID: 215016 DEA: 051M5904 EFIS: 0520000032 |
|---|---|
| DIST-CO-RTE-PM | 05-SBT-192-20.1 |
| Award Date | 12/02/2019 |
| Closeout Date | Not set |
| Work Description | SB192 Culvert Replacement - Drainage System Restoration |
| Location Description | Postmile: SB 20.1/SB 20.1 Statewide Odometer: 20.073/20.073 |
| QA Service Level | 1 (Verified on 09/03/2020) |
Sample Information
| Sample Taken Date | 05/22/2020 | 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 | 05/22/2020 |
| Sample type | Informational | A brief description of the sample | Soil |
| The quantity of what the sample constitutes | Existing | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Jacob | Last name of sampler or witnessed by | Berven |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | D5 20-D-021 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Mother Earth | Transportation Laboratory (TL) Number | |
| 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 | Unknown |
| 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: 2020-05-22-10-1 CTM 643-April 2020 (Verified)