Sample Record

Owner Lab

  • CT D04 - Vallejo Field Laboratory

DIME Sample ID 2021-12-10-1

Project Information

Project IdentifiersProject ID: 993454
DEA: 040K8001
EFIS: 0416000141
DIST-CO-RTE-PM04-MRN-101-13.7
Award DateNot set
Closeout DateNot set
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 12/10/2021)

Sample Information

Sample Taken Date12/10/2021 Sample Unique Key1
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 testing12/14/2021
Sample typePer Request A brief description of the sampleSoil Sample Native Selected
The quantity of what the sample constitutes2 sand bags each approx 20 lbs 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 ID
The fabricator/manufacturer/facility nameUS 101/Manuel T Freitas Parkway (MFP) Interchange in the City of San Rafael Transportation Laboratory (TL) Number
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 sample
The fabricator/manufacturer designation for the sample A detailed description of where the material sample was collectedAT THE JOB SITE
Where the material sample would have been placed if not sampled

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments