Sample Record

DIME Sample ID 2025-02-06-21

Project Information

Project IdentifiersProject ID: 994121
DEA: 120P68U4
EFIS: 1218000105
DIST-CO-RTE-PM12-ORA-1-13.0/33.7
Award Date07/12/2023
Closeout Date04/28/2026
Work DescriptionCOLD PLANE, PLACE RHMA AND MODIFY CURB RAMPS AND ELECTRICAL SYSTEMS.
Location DescriptionORANGE COUNTY AT VARIOUS LOCATIONS FROM CRYSTAL HEIGHTS DRIVE TO LOS ANGELES/ORANGE COUNTY LINE
QA Service Level1 (Verified on 07/07/2023)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date02/06/2025 Sample Unique Key21
Date that the sample was received by the laboratory/organization performing the testing02/12/2025 Sample typeVerification
A brief description of the sample1 Bag of CRM Hi-Nat The quantity of what the sample constitutes1 Bag of Crumb Rubber Hi-Nat
From where was the sample collectedManufacturer First name of sampler or witnessed byVictor
Last name of sampler or witnessed byCapacete QC Title of sampler
Telephone number of sampler Laboratory sample identification0129G-25
Linked DIME Sample ID The fabricator/manufacturer/facility nameAAA - Corona/ SJR/ Ingevity
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 TypeHigh Natural
Crumb Rubber Modifier Mix Number108835

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
2025-02-06-21-1CTM 385-July 2022: Method of Test for Crumb Rubber Modifier (CRM)David Tran, CT D08 - Fontana Southern Regional Laboratory02/19/202505/01/2025
No

Sample File Attachments

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Test File Attachments


DIME Test ID: 2025-02-06-21-1 CTM 385-July 2022