Sample Record

DIME Sample ID 2024-04-08-68

Project Information

Project IdentifiersProject ID: 994147
DEA: 120R4104
EFIS: 1218000090
DIST-CO-RTE-PM12-ORA-1-17.4/21.5
Award Date09/27/2022
Closeout Date09/18/2025
Work DescriptionCOLD PLANE AC AND PLACE RHMA-G.
Location DescriptionORANGE COUNTY IN NEWPORT BEACH FROM JAMBOREE ROAD TO SANTA ANA RIVER BRIDGE
QA Service Level1 (Verified on 06/28/2023)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date04/08/2024 Sample Unique Key68
Date that the sample was received by the laboratory/organization performing the testing04/09/2024 Sample typeVerification
A brief description of the sample1 Bag Crumb Rubber Scrap The quantity of what the sample constitutes1 Bag CRM Scrap
From where was the sample collectedManufacturer First name of sampler or witnessed byRJ Noble
Last name of sampler or witnessed byQC Title of sampler
Telephone number of sampler Laboratory sample identification0165G-24
Linked DIME Sample ID The fabricator/manufacturer/facility nameVulcan-Corona/ Chandler Agg/ World ASP/ Ingevity
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeCrumb Rubber Modifier CRM TypeScrap Tire
Crumb Rubber Modifier Mix Number49R003ARSPWEO

Submitted Tests

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