Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2022-05-18-47

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215157
DEA: 021H5704
EFIS: 0216000036
Award DateNot set
Closeout DateNot set
Work DescriptionBurney CAPM - Pavement Rehabilitation
Location DescriptionBunch Grass Lookout Rd to Napa Ln
QA Service Level1 (Verified on 09/03/2020)

Sample Information

Sample Taken Date05/18/2022 Sample Unique Key47
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 testing05/18/2022
Sample typePreliminary A brief description of the sample2 bags of Soil from Embankment for, trenchless culvert replacement
The quantity of what the sample constitutes2 Bag From where was the sample collectedJob Site
First name of sampler or witnessed byScott Last name of sampler or witnessed byLewis
Title of samplerEngineering Geologist Telephone number of sampler
Laboratory sample identificationD79032 Linked DIME Sample ID
The fabricator/manufacturer/facility nameUnknown Transportation Laboratory (TL) Number876445
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 collected02-SHA-299-68.99, South side of Embankment, 0.7 to 1.3 ft depth
Where the material sample would have been placed if not sampled

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-05-18-47-2CTM 204-June 2010: Method of Test for Liquid Limit, Plastic Limit and Plasticity Index of Soils (Plasticity Index)Karen DoradoCT D02 - North Region Materials Lab05/25/2022Darrell Valasek
2022-05-18-47-3CTM 203-February 2008: Mechanical Analysis of SoilsKaren Rios DoradoCT D02 - North Region Materials Lab05/25/2022Ward Jenkins