Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2021-12-10-1
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993454 DEA: 040K8004 EFIS: 0416000141 COOP: 042892 |
|---|---|
| DIST-CO-RTE-PM | 04-MRN-101-13.7 |
| Award Date | 02/05/2025 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT ROUNDABOUT, CURB RAMPS AND SW, SIGNAL AND LIGHTING SYSTEMS. |
| Location Description | MARIN COUNTY IN SAN RAFAEL AT FREITAS PARKWAY OVERCROSSING |
| QA Service Level | 1 (Verified on 12/10/2021) |
Sample Information
| Sample Taken Date | 12/10/2021 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 testing | 12/14/2021 |
| Sample type | Per Request | A brief description of the sample | Soil Sample Native Selected |
| The quantity of what the sample constitutes | 2 sand bags each approx 20 lbs | From where was the sample collected | Source |
| First name of sampler or witnessed by | Waqas | Last name of sampler or witnessed by | Ather |
| Title of sampler | METS Rep | Telephone number of sampler | 6099681702 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | US 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 Type | Soil | 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 collected | AT THE JOB SITE | |
| Where the material sample would have been placed if not sampled |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||