Sample Record
DIME Sample ID 2021-10-14-42
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Project Information
| Project Identifiers | Project ID: 215083 DEA: 07307504 EFIS: 0714000217 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-101-11.8/31.1 |
| Award Date | 09/21/2020 |
| Closeout Date | 08/25/2022 |
| Work Description | PLACE RHMA-G, MODIFY RAMP METERING AND SIGNAL AND LIGHTING SYSTEMS. |
| Location Description | LOS ANGELES COUNTY FROM TUJUNGA AVENUE UNDERCROSSING TO LAS VIRGENES ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 11/18/2020) |
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
Sample Information
| Sample Taken Date | 10/14/2021 | Sample Unique Key | 42 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 10/18/2021 | 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 | Victor |
| Last name of sampler or witnessed by | Pham | Title of sampler | |
| Telephone number of sampler | Laboratory sample identification | 0591G-21 | |
| Linked DIME Sample ID | 2021-10-14-41 | The fabricator/manufacturer/facility name | Vulcan Sun Valley |
| 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: 2021-10-14-42-1 CTM 385-November 2016 (Verified)
DIME Test ID: 2021-10-14-42-2 CTM 208-September 2011 (Verified)