Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2024-02-23-6
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Project Information
| Project Identifiers | Project ID: 995260 DEA: 061G0504 EFIS: 0623000195 |
|---|---|
| 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 | 02/23/2024 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 02/23/2024 |
| Sample type | 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 | Arthur | Last name of sampler or witnessed by | Mills |
| Title of sampler | Consultant | 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 | |
|---|---|---|---|
| The fabricator/manufacturer designation for the sample | A detailed description of where the material sample was collected | 11+98 -12+19 Elev. -7' BFG | |
| 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: 2024-02-23-6-1 CTM 216-June 2011 (Verified)