Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2021-07-27-28

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212245
DEA: 024F8604
EFIS: 0213000043
DIST-CO-RTE-PM02-TRI-36-26.7/27.1
Award Date11/02/2018
Closeout DateNot set
Work DescriptionROADWAY REALIGNMENT AND NEW BRIDGE CONSTRUCTION
Location DescriptionTRINITY COUNTY ABOUT 9 MILES EAST OF FOREST GLEN FROM 0.6 MILE WEST TO 0.1 MILE WEST OF ROUTE 3
QA Service Level1 (Verified on 03/21/2017)

Sample Information

Sample Taken Date07/27/2021 Sample Unique Key28
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 testing07/27/2021
Sample typeAcceptance A brief description of the sampleEngineered Streambed Material
The quantity of what the sample constitutesStreambed restoration From where was the sample collectedManufacturer
First name of sampler or witnessed byC. Last name of sampler or witnessed byRay
Title of samplerTET Telephone number of sampler
Laboratory sample identificationD78914 Linked DIME Sample ID
The fabricator/manufacturer/facility nameSteelhead Construction Junction City Quarry Transportation Laboratory (TL) Number036777
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 collectedJunction City Quarry
Where the material sample would have been placed if not sampled02 tri 36 pm 27 5

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-07-27-28-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesKaren DoradoCT D02 - North Region Materials Lab08/06/2021Darrell Valasek
Yes
08/16/2021