Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2022-10-11-43
Project Information
Project Identifiers | Project ID: 994100 DEA: 070Q8804 EFIS: 0721000106 MINOR: 07A5307 |
---|---|
DIST-CO-RTE-PM | 07-LA-164-3.6 |
Award Date | Not set |
Closeout Date | Not set |
Work Description | Not set |
Location Description | Not set |
QA Service Level | 1 (Verified on 07/06/2022) |
Sample Information
Sample Taken Date | 10/11/2022 | Sample Unique Key | 43 |
---|---|---|---|
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 | 10/19/2022 |
Sample type | Verification | A brief description of the sample | CRM Scrap |
The quantity of what the sample constitutes | 1 Gal CRM | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Vulcan | Last name of sampler or witnessed by | QC |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 0697G-22 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Vulcan Materials- Corona Drum | 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 | 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: 2022-10-11-43-1 CTM 208-September 2011 (Verified)
DIME Test ID: 2022-10-11-43-2 CTM 385-November 2016 (Verified)