Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2022-07-27-32

Project Information

Project IdentifiersProject ID: 994157
DEA: 041K7504
EFIS: 0416000309
DIST-CO-RTE-PM04-SON-1-41.2/54.6
Award Date10/25/2023
Closeout DateNot set
Work DescriptionREMOVE CULVERT, RCP, CORRUGATED STEEL PIPE AND CONCRETE BACK FILL.
Location DescriptionSONOMA COUNTY AT VARIOUS LOCATIONS FROM 0.2 MILE NORTH OF MILLER CREEK TO 0.1 MILE NORTH OF VANTAGE ROAD
QA Service Level1 (Verified on 07/28/2022)

Sample Information

Sample Taken Date07/27/2022 Sample Unique Key32
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 testing08/03/2022
Sample typePer Request A brief description of the samplea sand bag filled with native soil taken at depth approx. 2.25ft near the culvert @ PM51.94
The quantity of what the sample constitutesSample B 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 sampleSample B A detailed description of where the material sample was collectednear the inlet of culvert at coordinates 38.6956, -123.4309
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