Sample Record
DIME Sample ID 2024-05-23-69
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Project Information
| Project Identifiers | Project ID: 994147 DEA: 120R4104 EFIS: 1218000090 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-1-17.4/21.5 |
| Award Date | 09/27/2022 |
| Closeout Date | 09/18/2025 |
| Work Description | COLD PLANE AC AND PLACE RHMA-G. |
| Location Description | ORANGE COUNTY IN NEWPORT BEACH FROM JAMBOREE ROAD TO SANTA ANA RIVER BRIDGE |
| QA Service Level | 1 (Verified on 06/28/2023) |
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
Sample Information
| Sample Taken Date | 05/23/2024 | Sample Unique Key | 69 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 06/06/2024 | Sample type | Verification |
| A brief description of the sample | Scrap | The quantity of what the sample constitutes | 1 Bag Of Scrap Tire |
| From where was the sample collected | Manufacturer | First name of sampler or witnessed by | R J Noble |
| Last name of sampler or witnessed by | QC | Title of sampler | |
| Telephone number of sampler | Laboratory sample identification | 0280G-24 | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | R J Noble Orange | |
| 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 | 49R003ARSPWEO |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-05-23-69-1 CTM 208-September 2011 (Verified)
DIME Test ID: 2024-05-23-69-2 CTM 385-July 2022 (Verified)