Sample Record
Owner Lab
- CT D10 - District 10 Materials Laboratory
DIME Sample ID 2021-05-10-35
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 208942 DEA: 100Y2104 EFIS: 1013000104 COOP: 10415 |
|---|---|
| DIST-CO-RTE-PM | 10-TUO-108-R4.3/R5.1 |
| Award Date | 07/17/2020 |
| Closeout Date | 05/11/2023 |
| Work Description | MODIFY AND WIDEN STRUCTURE |
| Location Description | AT PEACEFUL OAK ROAD INTERCHANGE ,PART OF EAST SONORA BYPASS |
| QA Service Level | 1 (Verified on 12/06/2013) |
Sample Information
| Sample Taken Date | 05/10/2021 | Sample Unique Key | 35 |
|---|---|---|---|
| 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 | 05/10/2021 |
| Sample type | Acceptance | A brief description of the sample | Native Soil |
| The quantity of what the sample constitutes | 2 bags | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | S | Last name of sampler or witnessed by | Kirton |
| Title of sampler | ARE | Telephone number of sampler | |
| Laboratory sample identification | 21-C-028 | Linked DIME Sample ID | 2021-5-10-28 |
| The fabricator/manufacturer/facility name | SMCI | Transportation Laboratory (TL) Number | C878114 |
| 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 | K Line STA 195 20 | |
| 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. | |||