Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2023-05-23-27
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994744 DEA: 072XG504 EFIS: 0723000149 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5-66.3/67.3 |
| Award Date | 03/26/2023 |
| Closeout Date | Not set |
| Work Description | Not set |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 05/04/2023) |
Sample Information
| Sample Taken Date | 05/23/2023 | Sample Unique Key | 27 |
|---|---|---|---|
| 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 | 05/24/2023 |
| Sample type | Acceptance | A brief description of the sample | Embankment |
| The quantity of what the sample constitutes | 135 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Jacinto | Last name of sampler or witnessed by | Villanueva |
| Title of sampler | TEC | Telephone number of sampler | 8182096574 |
| Laboratory sample identification | 23-0706 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | SGV Construction | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Soil | The fabricator's/manufacturer's product name for the sample | Embankment |
|---|---|---|---|
| The fabricator/manufacturer designation for the sample | A detailed description of where the material sample was collected | from various location at Embankment | |
| Where the material sample would have been placed if not sampled |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-05-23-27-1 CTM 216-June 2011 (Verified)
DIME Test ID: 2023-05-23-27-2 CTM 231-March 2013 (Verified)