Sample Record
DIME Sample ID 2021-06-07-42
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Project Information
| Project Identifiers | Project ID: 215559 DEA: 112N0574 EFIS: 1119000079 |
|---|---|
| DIST-CO-RTE-PM | 11-IMP-86-L8.4/8.8 |
| Award Date | 04/22/2021 |
| Closeout Date | 09/14/2023 |
| Work Description | COLD PLANE AND PAVE WITH STRESS ABSORBING MEMBRANE INTERLAYER AND HMA. |
| Location Description | IMPERIAL COUNTY IN EL CENTRO FROM 0.1 MILE EAST OF NORTH IMPERIAL AVENUE TO TRESHILL ROAD. |
| QA Service Level | 1 (Verified on 06/03/2021) |
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
Sample Information
| Sample Taken Date | 06/07/2021 | Sample Unique Key | 42 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 08/20/2021 | Sample type | Verification |
| A brief description of the sample | Hi-Nat 5500 for Chip Seal | The quantity of what the sample constitutes | 1 Bag of Hi-Natural Crumb Rubber |
| From where was the sample collected | Manufacturer | First name of sampler or witnessed by | Not Provided |
| Last name of sampler or witnessed by | Not Provided | Title of sampler | |
| Telephone number of sampler | Laboratory sample identification | 4526 | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Not Provided | |
| 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 | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-06-07-42-1 CTM 385-November 2016 (Verified)
DIME Test ID: 2021-06-07-42-2 CTM 208-September 2011 (Verified)