Sample Record

DIME Sample ID 2024-11-08-39

Project Information

Project IdentifiersProject ID: 214697
DEA: 07307104
EFIS: 0714000213
DIST-CO-RTE-PM07-LA-101-32.8
Award DateNot set
Closeout DateNot set
Work DescriptionCONSTRUCT BRIDGE.
Location DescriptionLOS ANGELES COUNTY IN AND NEAR AGOURA HILLS FROM 0.1 MILE WEST OF LIBERTY CANYON ROAD UNDERCROSSING TO 0.6 MILE EAST OF PALO COMADO OVERCROSSING
QA Service Level1 (Verified on 07/12/2021)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date11/08/2024 Sample Unique Key39
Date that the sample was received by the laboratory/organization performing the testing11/13/2024 Sample typeVerification
A brief description of the sampleJMF 3/4" RHMA-G-SP 0.5% LAS The quantity of what the sample constitutes1 Bag of CRM Scrap
From where was the sample collectedManufacturer First name of sampler or witnessed byJohn
Last name of sampler or witnessed byMeijah Title of sampler
Telephone number of sampler Laboratory sample identification0621G-24
Linked DIME Sample ID The fabricator/manufacturer/facility nameIngevity, Valero, Fish Canyon Irwindale
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeCrumb Rubber Modifier CRM TypeScrap Tire
Crumb Rubber Modifier Mix Number226108M SVA VLO

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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