Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2023-05-15-31
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993703 DEA: 070W0404 EFIS: 0721000028 MINOR: 11A3471 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-90-0.9/T3.3 |
| Award Date | 06/09/2022 |
| Closeout Date | 02/05/2024 |
| Work Description | PCC GRINDING, SLAB REPLACEMENT, SLURRY SEAL & COLD PLANE AC PAVEMENT. |
| Location Description | LOS ANGELES COUNTY IN LOS ANGELES AND CULVER CITY FROM ROUTE 1 TO SLAUSON AVENUE |
| QA Service Level | 1 (Verified on 05/11/2022) |
Sample Information
| Sample Taken Date | 05/15/2023 | Sample Unique Key | 31 |
|---|---|---|---|
| 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 | 05/17/2023 |
| Sample type | Verification | A brief description of the sample | CRM Hi-Natural |
| The quantity of what the sample constitutes | 1 Bag of Hi-Natural | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Vulcan | Last name of sampler or witnessed by | QC |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0260G-23 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Vulcan - 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 | 326120M IRW LTR |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| 2023-05-15-31-1 | CTM 385-November 2016: Method of Test for Crumb Rubber Modifier (CRM) | Zaid.A, CT D08 - Fontana Southern Regional Laboratory | 05/22/2023 | 08/18/2023 | No |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-05-15-31-1 CTM 385-November 2016