Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2024-01-26-15
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 995260 DEA: 061G0504 EFIS: 0623000195 |
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DIST-CO-RTE-PM | 06-FRE-VAR,(180),245-99/104, (99.0)/0.0/(104.0)/9.0 |
Award Date | 03/29/2023 |
Closeout Date | Not set |
Work Description | Routes 180, 245 Emergency Slip Out Repair |
Location Description | Not set |
QA Service Level | 1 (Verified on 10/20/2023) |
Sample Information
Sample Taken Date | 01/26/2024 | Sample Unique Key | 15 |
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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 | 01/26/2024 |
Sample type | Department Acceptance | A brief description of the sample | Soil for structure backfill (AB) |
The quantity of what the sample constitutes | 1 Bucket | 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 | Cal Valley 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 | |
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The fabricator/manufacturer designation for the sample | A detailed description of where the material sample was collected | Retaining Wall | |
Where the material sample would have been placed if not sampled | STA 11+35 |
Combined Gradation Report Information
Combined Gradation Report Id | Bin Index | Dime Test Id |
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No assigned tests for this sample. |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2024-01-26-15-1 CTM 216-June 2011 (Verified)