Sample Record
DIME Sample ID 2023-08-30-54
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Project Information
| Project Identifiers | Project ID: 994633 DEA: 120T6604 EFIS: 1222000076 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-74-0.0/5.3 |
| Award Date | 03/22/2023 |
| Closeout Date | 07/01/2024 |
| Work Description | Cold plane AC pavement and place RHMA |
| Location Description | Orange County in and near San Juan Capistrano from Route 5/74 Separation to Gibby Road. |
| QA Service Level | 1 (Verified on 07/07/2023) |
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
Sample Information
| Sample Taken Date | 08/30/2023 | Sample Unique Key | 54 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 08/31/2023 | Sample type | Verification |
| A brief description of the sample | Scrap | The quantity of what the sample constitutes | 1 Bag Of Crumb Rubber Scrap |
| From where was the sample collected | Manufacturer | First name of sampler or witnessed by | Hector |
| Last name of sampler or witnessed by | Reyes | Title of sampler | |
| Telephone number of sampler | Laboratory sample identification | 0449G-23 | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | MM-Lake Elsinore | |
| 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 | 53418180 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-08-30-54-1 CTM 208-September 2011 (Verified)
DIME Test ID: 2023-08-30-54-2 CTM 385-July 2022 (Verified)