Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2022-06-08-12

Project Information

Project IdentifiersProject ID: 993882
DEA: 041Q3404
EFIS: 0418000242
DIST-CO-RTE-PM04-SON-1-21.84
Award DateNot set
Closeout DateNot set
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 06/09/2022)

Sample Information

Sample Taken Date06/08/2022 Sample Unique Key12
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing06/10/2022
Sample typePer Request A brief description of the sampleNative Soil
The quantity of what the sample constitutesnear the inlet of culvert From where was the sample collectedSource
First name of sampler or witnessed byWaqas Last name of sampler or witnessed byAther
Title of sampler Telephone number of sampler6099681702
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameN/A Transportation Laboratory (TL) Number
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 collectednear the inlet of culvert at PM 21.84 on US north 1 near jenner
Where the material sample would have been placed if not sampled

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments