Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2026-01-30-24
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 66667 DEA: JMFPP EFIS: 0019000043 |
|---|---|
| DIST-CO-RTE-PM | 59--- |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Special project for submitting Sample information for JMF Prequalification Program. |
| Location Description | Not set |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 01/30/2026 | Sample Unique Key | 24 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 02/03/2025 | Sample type | Verification |
| A brief description of the sample | 1 bag high-natural | The quantity of what the sample constitutes | 1 bag CRM Hi-Nat |
| From where was the sample collected | Manufacturer | First name of sampler or witnessed by | Adrian |
| Last name of sampler or witnessed by | Lopez | Title of sampler | |
| Telephone number of sampler | Laboratory sample identification | 0122G-26 | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | SJR, CRM Co, AAA, Rohm & Haas, AAA Corona | |
| 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 | 106836 C |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||