Sample Record
Owner Lab
- CT D04 - Petaluma Field Laboratory
DIME Sample ID 2024-06-21-95
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 993333 DEA: 04264724 EFIS: 0419000068 |
|---|---|
| DIST-CO-RTE-PM | 04-MRN-101-R20.8/27.1 |
| Award Date | 04/26/2022 |
| Closeout Date | Not set |
| Work Description | CIP BRIDGES, CONSTRUCT ROADWAY, RETAINING WALLS AND MODIFY ELECTRICAL. |
| Location Description | MARIN COUNTY IN AND NEAR NOVATO FROM 0.1 MILE SOUTH OF FRANKLIN AVENUE OVERHEAD TO 0.5 MILE SOUTH OF SAN ANTONIO CREEK BRIDGE |
| QA Service Level | 1 (Verified on 11/01/2021) |
Sample Information
| Sample Taken Date | 06/21/2024 | Sample Unique Key | 95 |
|---|---|---|---|
| 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 | 06/21/2024 |
| Sample type | Quality Assurance | A brief description of the sample | AB2 |
| The quantity of what the sample constitutes | 17500 sqft | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Anthony | Last name of sampler or witnessed by | Valdez |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Pet-24-240 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Roadway EX | 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 | STA 322+00-329+00 | |
| 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: 2024-06-21-95-1 CTM 216-June 2011 (Verified)
DIME Test ID: 2024-06-21-95-2 CTM 231-March 2013 (Verified)