Sample Record

DIME Sample ID 2025-10-07-45

Project Information

Project IdentifiersProject ID: 212503
DEA: 081C0804
EFIS: 0812000286
DIST-CO-RTE-PM08-SBD-60-R0.0/R1.8
Award DateNot set
Closeout DateNot set
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 06/24/2021)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date10/07/2025 Sample Unique Key45
Date that the sample was received by the laboratory/organization performing the testing10/13/2025 Sample typeVerification
A brief description of the sample1 BAG OF SCRAP The quantity of what the sample constitutes1 bag CRM RBR
From where was the sample collectedManufacturer First name of sampler or witnessed byERIBERTO
Last name of sampler or witnessed byAragon Title of sampler
Telephone number of sampler Laboratory sample identification0642G-25
Linked DIME Sample ID The fabricator/manufacturer/facility nameCRM of Amer, HF Sinclair, LHoist, Fisher Sand and Gravel
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 Number530AKR

Submitted Tests

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

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Test File Attachments