Sample Record
DIME Sample ID 2024-03-11-15
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Project Information
| Project Identifiers | Project ID: 1000106 DEA: 07316204 EFIS: 0715000198 Permit Numbers: 0722AOP1994 |
|---|---|
| DIST-CO-RTE-PM | 07--- |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Not set |
| Location Description | Not set |
| QA Service Level | 2 (Verified on 02/14/2024) |
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
Sample Information
| Sample Taken Date | 03/11/2024 | Sample Unique Key | 15 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 03/14/2024 | Sample type | Verification |
| A brief description of the sample | Scrap | The quantity of what the sample constitutes | 1 Bag of Scrap |
| From where was the sample collected | Manufacturer | First name of sampler or witnessed by | Kevin |
| Last name of sampler or witnessed by | Hopkins | Title of sampler | |
| Telephone number of sampler | Laboratory sample identification | 0136G-24 | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Granite Construction - Big Rock | |
| 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 | 1556 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-03-11-15-1 CTM 208-September 2011 (Verified)
DIME Test ID: 2024-03-11-15-2 CTM 385-July 2022 (Verified)