Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2015-01-20-8
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 208679 DEA: 100S1104 EFIS: 1000000229 COOP: 10406 |
|---|---|
| DIST-CO-RTE-PM | 10-SJ-4,5-Var |
| Award Date | 12/16/2013 |
| Closeout Date | 01/03/2019 |
| Work Description | SR-4 FREEWAY EXTENSION |
| Location Description | IN SAN JOAQUIN COUNTY |
| QA Service Level | 1 (Verified on 03/25/2013) |
Sample Information
| Sample Taken Date | 01/20/2015 | Sample Unique Key | 8 |
|---|---|---|---|
| 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 | 02/05/2015 |
| Sample type | Authorization | A brief description of the sample | MSE |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | B | Last name of sampler or witnessed by | Fulkersom |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | ag150065 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Granite Vernalis | Transportation Laboratory (TL) Number | C826871 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | Soil | The fabricator's/manufacturer's product name for the sample | Unknown |
|---|---|---|---|
| The fabricator/manufacturer designation for the sample | Unknown | A detailed description of where the material sample was collected | Abut 1 |
| Where the material sample would have been placed if not sampled | Unknown |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2015-01-20-8-1 CTM 217-June 2011 (Verified)