Sample Record
DIME Sample ID 2023-09-28-62
Project Information
| Project Identifiers | Project ID: 995198 DEA: 072XC404 EFIS: 0723000083 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-101-9.609999999999999/9.609999999999999 |
| Award Date | 01/12/2023 |
| Closeout Date | 08/21/2025 |
| Work Description | Not set |
| Location Description | Not set |
| QA Service Level | NOT VERIFIED |
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
Sample Information
| Sample Taken Date | 09/28/2023 | Sample Unique Key | 62 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 10/06/2023 | Sample type | Verification |
| A brief description of the sample | Hi-Natural | The quantity of what the sample constitutes | 1 Qt. Hi-Nat |
| From where was the sample collected | Manufacturer | First name of sampler or witnessed by | Estaban |
| Last name of sampler or witnessed by | Salagado | Title of sampler | |
| Telephone number of sampler | Laboratory sample identification | 0506G-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 | High Natural |
|---|---|---|---|
| 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: 2023-09-28-62-1 CTM 208-September 2011 (Verified)
DIME Test ID: 2023-09-28-62-2 CTM 385-July 2022 (Verified)
