Sample Record

Owner Labs

  • CT HQ - Sacramento Materials Management Branch Field Office
  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2021-10-14-8

Project Information

Project IdentifiersProject ID: 993292
DEA: 041W7501
EFIS: 0421000091
DIST-CO-RTE-PM04-SON-121-
Award DateNot set
Closeout DateNot set
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 10/01/2021)

Sample Information

Sample Taken Date10/14/2021 Sample Unique Key8
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing10/15/2021
Sample typePer Request A brief description of the samplewater sample from the inlet of the culvert
The quantity of what the sample constitutes1 bottle apprx 120ml From where was the sample collectedSource
First name of sampler or witnessed byWaqas Last name of sampler or witnessed byAther
Title of samplerMETS Rep Telephone number of sampler6099681702
Laboratory sample identification Linked DIME Sample ID2021-10-14-6
The fabricator/manufacturer/facility nameField Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormB388 Structure unique identifier
Structure name

Material Information

Material TypeWater Sample is potable waterNo
A detailed description of where the material sample was collectedPM 4.07 , 38.2034 E, -122.2449N

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