Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2023-02-16-22
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215374 DEA: 060X2704 EFIS: 0618000048 |
|---|---|
| DIST-CO-RTE-PM | 06-FRE-5-37.2/48.8 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | PAVEMENT REHABILITATION |
| Location Description | FROM 1.9 MILES NORTH OF THREE ROCKS ROAD UC TO 0.2 MILES SOUTH OF PANOCHE ROAD OC |
| QA Service Level | 1 (Verified on 12/16/2020) |
Sample Information
| Sample Taken Date | 02/16/2023 | Sample Unique Key | 22 |
|---|---|---|---|
| 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 | 02/17/2023 |
| Sample type | Quality Assurance | A brief description of the sample | Structural back fill |
| The quantity of what the sample constitutes | DS #7 Wing wall | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Tomas | Last name of sampler or witnessed by | Silva |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Unknown | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | DS 7 |
Material Information
| Material Type | Soil | The fabricator's/manufacturer's product name for the sample | Structural Backfill |
|---|---|---|---|
| The fabricator/manufacturer designation for the sample | A detailed description of where the material sample was collected | South of wing wall | |
| Where the material sample would have been placed if not sampled | South of wing wall |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-02-16-22-1 CTM 231-March 2013 (Verified)
| File Name | Extension | Date Uploaded | Test ID | Actions |
|---|---|---|---|---|
| IMG_0331 | JPG | 02/21/2023 | 2023-02-16-22-1 | Info |