Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-06-03-66
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 995533 DEA: 070W7104 EFIS: 0723000034 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-105-R13.4/R18.1 |
| Award Date | 03/05/2024 |
| Closeout Date | 03/14/2025 |
| Work Description | DIGOUT, SLURRY SEAL, COLD PLANE OVERLAY, AND PAVEMENT DELINEATION. |
| Location Description | LOS ANGELES COUNTY FROM LOS ANGELES RIVER BRIDGE SEPARATION IN PARAMOUNT TO STUDEBAKER ROAD IN NORWALK |
| QA Service Level | 1 (Verified on 01/22/2024) |
Sample Information
| Sample Taken Date | 06/03/2024 | Sample Unique Key | 66 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 06/04/2024 |
| 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 | Antony | Last name of sampler or witnessed by | Bahe |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0274G-24 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | All American Asphalt-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 | Scrap Tire |
|---|---|---|---|
| Crumb Rubber Modifier Mix Number | 106835 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-06-03-66-1 CTM 208-September 2011 (Verified)
DIME Test ID: 2024-06-03-66-2 CTM 385-July 2022 (Verified)