Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2014-05-21-6308496

Project Information

Project IdentifiersProject ID: 209129
DEA: 080J0104
EFIS: 0800000278
DIST-CO-RTE-PM08-SBD-18-53.5
Award Date11/20/2013
Closeout Date09/08/2014
Work DescriptionCONSTRUCT LEFT TURN IN BOTH DIRECTIONS, WIDEN SHOULDER WEST BOUND
Location DescriptionSAN BERNARDINO COUNTY AT BIG BEAR CITY AT BIG TREE DRIVE
QA Service Level1 (Verified on 10/08/2013)

Sample Information

Sample Taken Date05/21/2014 Sample Unique Key6308496
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 testing05/24/2014
Sample typeAcceptance A brief description of the sampleSoil for Subgrade.
The quantity of what the sample constitutes1 Bag From where was the sample collectedSource
First name of sampler or witnessed byJose Last name of sampler or witnessed byDiaz
Title of samplerTET Telephone number of samplerNot set
Laboratory sample identification4145B Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameRte. 18 Sta. 16 60 to 24 00. Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSoil The fabricator's/manufacturer's product name for the sampleNot set
The fabricator/manufacturer designation for the sampleNot set A detailed description of where the material sample was collectedRte. 18 Sta. 16 60 to 24 00.
Where the material sample would have been placed if not sampledNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments