Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2021-10-27-24
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215360 DEA: 112N0454 EFIS: 1118000198 |
|---|---|
| DIST-CO-RTE-PM | 11-SD-94-30.0/39.0 |
| Award Date | 02/18/2021 |
| Closeout Date | 08/02/2022 |
| Work Description | PLACING CHIP SEAL, SLURRY SEAL, SHOULDER BACKING AND STRIPING. |
| Location Description | SAN DIEGO COUNTY NEAR DULZURA AND BARRETT JUNCTION FROM 0.9 MILE EAST OF GRANDE CREEK BRIDGE TO ROUTE 188. |
| QA Service Level | 1 (Verified on 02/08/2021) |
Sample Information
| Sample Taken Date | 10/27/2021 | Sample Unique Key | 24 |
|---|---|---|---|
| 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 | 11/10/2021 |
| Sample type | Verification | A brief description of the sample | Crumb Rubber Hi Natural for use in 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 | Last name of sampler or witnessed by | Provided |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 5149 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Plant | 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
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||