Sample Record
DIME Sample ID 2023-02-03-23
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Project Information
| Project Identifiers | Project ID: 214336 DEA: 07302404 EFIS: 0713000488 |
|---|---|
| DIST-CO-RTE-PM | 07-VEN-101-37/40 |
| Award Date | 11/17/2020 |
| Closeout Date | 09/24/2024 |
| Work Description | PADRE JUAN REHAB |
| Location Description | VEN 101 |
| QA Service Level | 1 (Verified on 02/26/2021) |
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
Sample Information
| Sample Taken Date | 02/03/2023 | Sample Unique Key | 23 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 02/06/2023 | Sample type | Verification |
| A brief description of the sample | Hi-Natural | The quantity of what the sample constitutes | 1 Gallon Hi-Nat |
| From where was the sample collected | Manufacturer | First name of sampler or witnessed by | Avo |
| Last name of sampler or witnessed by | Karajian | Title of sampler | |
| Telephone number of sampler | Laboratory sample identification | 0137G-23 | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Granite Construction - Santa Paula | |
| 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 | 1556 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-02-03-23-1 CTM 208-September 2011 (Verified)
DIME Test ID: 2023-02-03-23-2 CTM 385-November 2016 (Verified)