Sample Record
DIME Sample ID 2023-06-08-35
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Project Information
| Project Identifiers | Project ID: 993844 DEA: 070W1004 EFIS: 0721000043 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5-31.8/42.6 |
| Award Date | 06/28/2022 |
| Closeout Date | Not set |
| Work Description | PLACE RUBBERIZED HMA (GAP GRADED) |
| Location Description | LOS ANGELES COUNTY IN BURBANK AND LOS ANGELES FROM COHASSET STREET UNDERCROSSING TO ROXFORD STREET UNDERCROSSING |
| QA Service Level | 1 (Verified on 09/20/2022) |
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
Sample Information
| Sample Taken Date | 06/08/2023 | Sample Unique Key | 35 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 06/14/2023 | Sample type | Verification |
| A brief description of the sample | Scrap | The quantity of what the sample constitutes | 1 Bag of CRM Scrap |
| 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 | 0317G-23 | |
| 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 | Scrap Tire |
|---|---|---|---|
| Crumb Rubber Modifier Mix Number | 226108 SV A3 LTR |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-06-08-35-1 CTM 208-September 2011 (Verified)
DIME Test ID: 2023-06-08-35-2 CTM 385-November 2016 (Verified)