Sample Record
Owner Lab
- CT D10 - District 10 Materials Laboratory
DIME Sample ID 2020-12-22-12
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214395 DEA: 103A7204 EFIS: 1013000259 |
|---|---|
| DIST-CO-RTE-PM | 10-MER-99-20.1/24.3 |
| Award Date | 12/12/2019 |
| Closeout Date | 08/23/2023 |
| Work Description | PLACE CRCP AND HMA. |
| Location Description | MERCED COUNTY IN AND NEAR ATWATER FROM 0.4 MILE SOUTH OF BUHACH OVERCROSSING TO 0.8 MILE NORTH OF WEST ATWATER OVERHEAD |
| QA Service Level | 1 (Verified on 09/13/2019) |
Sample Information
| Sample Taken Date | 12/22/2020 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 testing | 01/04/2021 |
| Sample type | Department Acceptance | A brief description of the sample | Native Mix/ AC Grinding |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Mike | Last name of sampler or witnessed by | Cozad |
| Title of sampler | Consultant | Telephone number of sampler | |
| Laboratory sample identification | 21-C-01 | Linked DIME Sample ID | 2021-1-4-01 |
| The fabricator/manufacturer/facility name | Bay Cities | Transportation Laboratory (TL) Number | C034078 |
| 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 | Stockpile, Basin no.4 | |
| 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. | |||