Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2021-10-06-29
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 215687 DEA: 074W6104 EFIS: 0719000104 |
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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) |
Sample Information
Sample Taken Date | 10/06/2021 | Sample Unique Key | 29 |
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Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 10/11/2021 |
Sample type | Verification | A brief description of the sample | Hi Natural Crumb Rubber |
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 | Kevin | Last name of sampler or witnessed by | Hopkins |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 4878 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Granite - Llano | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Crumb Rubber Modifier | CRM Type | High Natural |
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Crumb Rubber Modifier Mix Number | Not set |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-10-06-29-1 CTM 385-November 2016 (Verified)
DIME Test ID: 2021-10-06-29-2 CTM 208-September 2011 (Verified)