Sample Record
DIME Sample ID 2022-12-20-22
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Project Information
| Project Identifiers | Project ID: 214524 DEA: 07304504 EFIS: 0714000067 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-57-R0.0/R4.5 |
| Award Date | 06/11/2020 |
| Closeout Date | 04/03/2025 |
| Work Description | CONCRETE PAVEMENT, CONCRETE BARRIER, AND ELECTRICAL WORK. |
| Location Description | LOS ANGELES COUNTY IN DIAMOND BAR AND CITY OF INDUSTRY FROM ORANGE COUNTY LINE TO ROUTE 57/60 SEPARATION |
| QA Service Level | 1 (Verified on 08/12/2020) |
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
Sample Information
| Sample Taken Date | 12/20/2022 | Sample Unique Key | 22 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 12/22/2022 | Sample type | Verification |
| A brief description of the sample | Hi-Natural | The quantity of what the sample constitutes | 1 Bag Hi-Nat |
| From where was the sample collected | Manufacturer | First name of sampler or witnessed by | Victor |
| Last name of sampler or witnessed by | Pham | Title of sampler | |
| Telephone number of sampler | Laboratory sample identification | 0783G-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 | High Natural |
|---|---|---|---|
| Crumb Rubber Modifier Mix Number | 226108A IRW LTR |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-12-20-22-1 CTM 208-September 2011 (Verified)
DIME Test ID: 2022-12-20-22-2 CTM 385-November 2016 (Verified)