Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2016-07-05-3

Project Information

Project IdentifiersProject ID: 211071
DEA: 080R9504
EFIS: 0812000218
DIST-CO-RTE-PM08-RIV-371-70.6/70.9
Award Date02/22/2016
Closeout DateNot set
Work DescriptionCONSTRUCT LEFT TURN LANES
Location DescriptionCONSTRUCT LEFT TURN LANES
QA Service Level1 (Verified on 05/03/2016)

Sample Information

Sample Taken Date07/05/2016 Sample Unique Key3
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 testing07/05/2016
Sample typeAcceptance A brief description of the sampleSoil
The quantity of what the sample constitutes1 Bag From where was the sample collectedSource
First name of sampler or witnessed bySal Last name of sampler or witnessed byGarcia
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameNA Transportation Laboratory (TL) NumberC 985251
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSoil The fabricator's/manufacturer's product name for the sampleUnknown
The fabricator/manufacturer designation for the sampleUnknown A detailed description of where the material sample was collectedNW Shoulder Sta 760 00
Where the material sample would have been placed if not sampledUnknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.