Sample Record
DIME Sample ID 2023-04-06-16
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Project Information
| Project Identifiers | Project ID: 214337 DEA: 080E33U4 EFIS: 0817000075 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-115-R7.3/R10.0 |
| Award Date | 04/26/2021 |
| Closeout Date | 06/09/2025 |
| Work Description | ADD WB AUX & EB DECEL LANES, WIDEN I15 SW CONNECT,RAMPS/BRDG |
| Location Description | SAN BERNARDINO COUNTY IN ONTARIO FROM 0.2 MILE WEST OF CUCAMONGA CREEK BRIDGE TO MILLIKEN AVENUE |
| QA Service Level | 1 (Verified on 06/23/2021) |
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
Sample Information
| Sample Taken Date | 04/06/2023 | Sample Unique Key | 16 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 04/11/2023 | Sample type | Verification |
| A brief description of the sample | CRM Scrap | The quantity of what the sample constitutes | 1 Bag CRM |
| From where was the sample collected | Manufacturer | First name of sampler or witnessed by | Victor |
| Last name of sampler or witnessed by | Capacete | Title of sampler | |
| Telephone number of sampler | Laboratory sample identification | 0198G-23 | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | All American Asphalt- Corona | |
| 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 | 106835 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-04-06-16-1 CTM 208-September 2011 (Verified)
DIME Test ID: 2023-04-06-16-2 CTM 385-November 2016 (Verified)