Sample Record
DIME Sample ID 2021-09-09-21
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Project Information
| Project Identifiers | Project ID: 215687 DEA: 074W6104 EFIS: 0719000104 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-18-0.0/4.5 |
| Award Date | 05/26/2021 |
| Closeout Date | 10/06/2022 |
| Work Description | PLACE RUBBERIZED HMA (GAP GRADED). |
| Location Description | LOS ANGELES COUNTY NEAR LLANO FROM SAN BERNARDINO COUNTY LINE TO JUNCTION ROUTE 138 |
| QA Service Level | 1 (Verified on 07/01/2021) |
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
Sample Information
| Sample Taken Date | 09/09/2021 | Sample Unique Key | 21 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 09/10/2021 | Sample type | Verification |
| A brief description of the sample | Crumb Rubber Scrap | The quantity of what the sample constitutes | 1 Bag of Scrap Crumb Rubber |
| From where was the sample collected | Manufacturer | First name of sampler or witnessed by | William |
| Last name of sampler or witnessed by | Lucas | Title of sampler | |
| Telephone number of sampler | Laboratory sample identification | 0524G-21 | |
| Linked DIME Sample ID | 2021-09-09-18 | The fabricator/manufacturer/facility name | Granite Construction Company Llano |
| 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 | Scrap Tire |
|---|---|---|---|
| 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: 2021-09-09-21-1 CTM 385-November 2016 (Verified)
DIME Test ID: 2021-09-09-21-2 CTM 208-September 2011 (Verified)