Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2022-11-02-32
Project Information
| Project Identifiers | Project ID: 993611 DEA: 112N1154 EFIS: 1121000144 |
|---|---|
| DIST-CO-RTE-PM | 11-IMP-115-R3.2/R8.8,9.5/21.2 |
| Award Date | 05/03/2022 |
| Closeout Date | 05/02/2023 |
| Work Description | ASPHALT RUBBER BINDER CHIP SEAL, PAVEMENT MARKINGS & SHOULDER BACKING. |
| Location Description | IMPERIAL COUNTY IN AND NEAR HOLTVILLE FROM ROUTE 115/8 SEPARATION TO TOWLAND ROAD AND FROM WEST JUNCTION EVAN HEWES HIGHWAY TO EAST JUNCTION ROUTE 78/115 |
| QA Service Level | 1 (Verified on 03/07/2022) |
Sample Information
| Sample Taken Date | 11/02/2022 | Sample Unique Key | 32 |
|---|---|---|---|
| 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 | 11/09/2022 |
| Sample type | Per Request | A brief description of the sample | Crumb Rubber Scrap |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | APS | Last name of sampler or witnessed by | APS |
| Title of sampler | APS | Telephone number of sampler | |
| Laboratory sample identification | 8053 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Rubber plant Coachella | Transportation Laboratory (TL) Number | c 3314 |
| 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 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-11-02-32-1 CTM 385-July 2022 (Verified)
DIME Test ID: 2022-11-02-32-2 CTM 208-September 2011 (Verified)
