Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2014-02-04-13005790

Project Information

Project IdentifiersProject ID: 208869
DEA: 08368504
EFIS: 0800000628
DIST-CO-RTE-PM08-SBD-15-177.3/181.1
Award Date07/25/2013
Closeout DateNot set
Work DescriptionCONSTRUCT COMMERCIAL VEHICLE ENFORCEMENT FACILITY (CVEF)
Location DescriptionSAN BERNARDINO COUNTY FROM 1.2 MILES NORTH OF NIPTON ROAD OVERCROSSING TO 0.5 MILE SOUTH OF YATES WELL ROAD OVERCROSSING
QA Service Level1 (Verified on 10/08/2013)

Sample Information

Sample Taken Date02/04/2014 Sample Unique Key13005790
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 testing02/03/2014
Sample typeAcceptance A brief description of the sampleStructural Backfill
The quantity of what the sample constitutes2 Bags From where was the sample collectedSource
First name of sampler or witnessed byUnknown Last name of sampler or witnessed byUnknown
Title of samplerNot set Telephone number of samplerNot set
Laboratory sample identification4057B Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameI-15 PM 176 / 181 - F - Line Sta. 51 00 t0 52 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 collectedI-15 PM 176 / 181 - F - Line Sta. 51 00 to 52 00.
Where the material sample would have been placed if not sampledNot set

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2014-02-04-13005790-2CTM 217-June 2011: Method of Test for Sand EquivalentNemencio DaofCT - Southern Regional Laboratory02/04/2014Nemencio Daof
Yes
02/20/2015