Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2025-02-06-21
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994121 DEA: 120P68U4 EFIS: 1218000105 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-1-13.0/33.7 |
| Award Date | 07/12/2023 |
| Closeout Date | Not set |
| Work Description | COLD PLANE, PLACE RHMA AND MODIFY CURB RAMPS AND ELECTRICAL SYSTEMS. |
| Location Description | ORANGE COUNTY AT VARIOUS LOCATIONS FROM CRYSTAL HEIGHTS DRIVE TO LOS ANGELES/ORANGE COUNTY LINE |
| QA Service Level | 1 (Verified on 07/07/2023) |
Sample Information
| Sample Taken Date | 02/06/2025 | Sample Unique Key | 21 |
|---|---|---|---|
| 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 | 02/12/2025 |
| Sample type | Verification | A brief description of the sample | 1 Bag of CRM Hi-Nat |
| The quantity of what the sample constitutes | 1 Bag of Crumb Rubber Hi-Nat | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Victor | Last name of sampler or witnessed by | Capacete QC |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0129G-25 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | AAA - Corona/ SJR/ Ingevity | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Crumb Rubber Modifier | CRM Type | High Natural |
|---|---|---|---|
| Crumb Rubber Modifier Mix Number | 108835 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| 2025-02-06-21-1 | CTM 385-July 2022: Method of Test for Crumb Rubber Modifier (CRM) | David Tran, CT D08 - Fontana Southern Regional Laboratory | 02/19/2025 | 05/01/2025 | No |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2025-02-06-21-1 CTM 385-July 2022