Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2022-11-17-68
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993844 DEA: 070W1004 EFIS: 0721000043 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5-31.8/42.6 |
| Award Date | 06/28/2022 |
| Closeout Date | Not set |
| Work Description | PLACE RUBBERIZED HMA (GAP GRADED) |
| Location Description | LOS ANGELES COUNTY IN BURBANK AND LOS ANGELES FROM COHASSET STREET UNDERCROSSING TO ROXFORD STREET UNDERCROSSING |
| QA Service Level | 1 (Verified on 09/20/2022) |
Sample Information
| Sample Taken Date | 11/17/2022 | Sample Unique Key | 68 |
|---|---|---|---|
| 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 | 11/11/2022 |
| Sample type | Verification | A brief description of the sample | JMF 3/4" RHMA-G-SP 0.50% LAS |
| The quantity of what the sample constitutes | 4 Quart Cans | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Vulcan QC | Last name of sampler or witnessed by | Vulcan QC |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0749G-22 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Vulcan Materials-Irwindale | 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 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-11-17-68-1 CTM 385-November 2016 (Verified)
DIME Test ID: 2022-11-17-68-2 CTM 208-September 2011 (Verified)