DIME - Sample Record for DIME Sample ID 2021-04-28-33

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DIME » All Projects » Project - DEA: 031E0604 » Sample 2021-04-28-33 » Sample Details

Sample Record

DIME Sample ID 2021-04-28-33

Project Information

Project Identifiers	Project ID: 212914 DEA: 031E0604 EFIS: 0312000068
DIST-CO-RTE-PM	03-YUB-70-15.5/16.5
Award Date	07/31/2019
Closeout Date	08/30/2023
Work Description	SIMMERLY SLOUGH BRIDGE REPLACEMENT BR 16-0019 WITH BR 16-0055.
Location Description	NEAR MARYSVILLE, FROM 0.1 MILE NORTH OF BINNEY JUNCTION UNDERPASS TO 0.3 MILE NORTH OF LAURELLEN ROAD, AT SIMMERLY SLOUGH BRIDGE BR 16-0019.
QA Service Level	1 (Verified on 08/22/2019)

Owner Lab

CT D03 - Olivehurst Northern Regional Laboratory

Sample Information

Sample Taken Date	04/28/2021	Sample Unique Key	33
Date that the sample was received by the laboratory/organization performing the testing	04/28/2021	Sample type	Verification
A brief description of the sample	High Natural - Crumb Rubber Modifier - American Tire Recycling Inc.	The quantity of what the sample constitutes	25% by total weight of CRM
From where was the sample collected	Manufacturer	First name of sampler or witnessed by	Teichert Personnel (SAMPLER)
Last name of sampler or witnessed by	Ken McHugh (WITNESS)	Title of sampler
Telephone number of sampler		Laboratory sample identification	JMF21-024
Linked DIME Sample ID		The fabricator/manufacturer/facility name	Teichert-Hallwood Plant
Transportation Laboratory (TL) Number	C741863	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	Not set

Submitted Tests

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