Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2015-02-23-4

Project Information

Project IdentifiersProject ID: 210088
DEA: 074X3804
EFIS: 0715000168
DIST-CO-RTE-PM07-LA-110-23.2/23.7
Award DateNot set
Closeout DateNot set
Work DescriptionRepair damaged highway and roadside facility
Location DescriptionLA-110 at the 101/10 & 5 connectors , in downtown LA
QA Service Level1 (Verified on 12/03/2015)

Sample Information

Sample Taken Date02/23/2015 Sample Unique Key4
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 testing02/24/2015
Sample typePreliminary A brief description of the sampleSoil
The quantity of what the sample constitutes1 Zip Bag From where was the sample collectedJob Site
First name of sampler or witnessed byHuy Last name of sampler or witnessed byNgo
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification5027B Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameA 15 002 30 to 40 ft Transportation Laboratory (TL) NumberC
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSoil The fabricator's/manufacturer's product name for the sampleUnknown
The fabricator/manufacturer designation for the sampleUnknown A detailed description of where the material sample was collectedRte 110 PM 23 54
Where the material sample would have been placed if not sampledUnknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2015-02-23-4-1CTM 643-June 2007: Method for Determining Field and Laboratory Resistivity and pH Measurements for Soil and WaterVincent OnohCT - Southern Regional Laboratory02/25/2015Vincent Onoh
No
Info