Sample Record
DIME Sample ID 2023-01-25-45
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Project Information
| Project Identifiers | Project ID: 215456 DEA: 07293604 EFIS: 0713000238 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-405-14.3/15.8 |
| Award Date | 05/26/2021 |
| Closeout Date | 07/03/2025 |
| Work Description | CONSTRUCT AUXILIARY LANE AND WIDEN ON AND OFF RAMPS. |
| Location Description | LOS ANGELES COUNTY IN TORRANCE BETWEEN WESTERN AVENUE UNDERCROSSING AND WEST 182ND STREET |
| QA Service Level | 1 (Verified on 07/07/2021) |
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
Sample Information
| Sample Taken Date | 01/25/2023 | Sample Unique Key | 45 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 02/09/2023 | 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 | 0142G-23 | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | All American Asphalt-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 | 106835 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-01-25-45-1 CTM 208-September 2011 (Verified)
DIME Test ID: 2023-01-25-45-2 CTM 385-November 2016 (Verified)