Sample Record

Owner Lab

  • CT D10 - District Materials Laboratory

DIME Sample ID 2021-05-10-35

Project Information

Project IdentifiersProject ID: 208942
DEA: 100Y2104
EFIS: 1013000104
COOP: 10415
DIST-CO-RTE-PM10-TUO-108-R4.3/R5.1
Award Date07/17/2020
Closeout DateNot set
Work DescriptionMODIFY AND WIDEN STRUCTURE
Location DescriptionAT PEACEFUL OAK ROAD INTERCHANGE ,PART OF EAST SONORA BYPASS
QA Service Level1 (Verified on 12/06/2013)

Sample Information

Sample Taken Date05/10/2021 Sample Unique Key35
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 testing05/10/2021
Sample typeAcceptance A brief description of the sampleNative Soil
The quantity of what the sample constitutes2 bags From where was the sample collectedJob Site
First name of sampler or witnessed byS Last name of sampler or witnessed byKirton
Title of samplerARE Telephone number of sampler
Laboratory sample identification21-C-028 Linked DIME Sample ID2021-5-10-28
The fabricator/manufacturer/facility nameSMCI Transportation Laboratory (TL) NumberC878114
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 collectedK Line STA 195 20
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.