Sample Record
Owner Lab
- CT D08 - Fontana Field Testing Laboratory
DIME Sample ID 2024-01-08-80
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Project Information
| Project Identifiers | Project ID: 215188 DEA: 080F5434 EFIS: 0817000239 Permit Numbers: 0823NMC0369 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-I-15,SR-91-6.1-7.6 |
| Award Date | 03/11/2020 |
| Closeout Date | 06/05/2024 |
| Work Description | I-15 ELC: 15/91 Express Lanes Connector Project (ELC) |
| Location Description | Junction of I-15 and SR-91 in Corona, CA |
| QA Service Level | 1 (Verified on 09/16/2020) |
Sample Information
| Sample Taken Date | 01/08/2024 | Sample Unique Key | 80 |
|---|---|---|---|
| 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 | 01/08/2024 |
| Sample type | Department Acceptance | A brief description of the sample | Structural Backfill |
| The quantity of what the sample constitutes | 15.0 kg | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | MaryAnna | Last name of sampler or witnessed by | Landaverde |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CTM 231 TEST LOCATION | 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 | Soundwall 2192 - 1320 Cresta Rd, Freeway Side 91 WB to 15 NB | |
| 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: 2024-01-08-80-1 CTM 231-March 2013 (Verified)
DIME Test ID: 2024-01-08-80-2 CTM 216-June 2011 (Verified)