Sample Record

DIME Sample ID 2022-09-06-74

Project Information

Project IdentifiersProject ID: 993418
DEA: 07324404
EFIS: 0716000077
DIST-CO-RTE-PM07-LA-22-0.0/1.5
Award Date02/18/2022
Closeout Date09/24/2024
Work DescriptionPLACE RHMA-G AND MODIFY SIGNAL AND LIGHTING SYSTEM.
Location DescriptionLOS ANGELES COUNTY IN LONG BEACH FROM ROUTE 1 TO SAN GABRIEL RIVER UNDERCROSSING
QA Service Level1 (Verified on 12/06/2021)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date09/06/2022 Sample Unique Key74
Date that the sample was received by the laboratory/organization performing the testing09/19/2022 Sample typeVerification
A brief description of the sampleHi-Natural The quantity of what the sample constitutes1 Bag Hi-Nat
From where was the sample collectedManufacturer First name of sampler or witnessed byVictor
Last name of sampler or witnessed byPham Title of sampler
Telephone number of sampler Laboratory sample identification0643G-22
Linked DIME Sample ID The fabricator/manufacturer/facility nameBlue Diamond Material-Irwindale
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeCrumb Rubber Modifier CRM TypeHigh Natural
Crumb Rubber Modifier Mix Number

Submitted Tests

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