Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2024-08-06-105
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000090 DEA: 024J9204 EFIS: 0223000087 |
|---|---|
| DIST-CO-RTE-PM | 02-TRI-299-61.0/64.0,70.0/72.2 |
| Award Date | 04/16/2024 |
| Closeout Date | 11/27/2024 |
| Work Description | ASPHALT RUBBER CHIP SEAL WITH REPLACE ASPHALT CONCRETE SURFACING. |
| Location Description | TRINITY COUNTY NEAR DOUGLAS CITY FROM STEEL BRIDGE ROAD TO 1.5 MILES WEST OF GRASS VALLEY CREEK BRIDGE NO 05-0013 AND FROM 2.6 MILES EAST OF TRINITY DAM BOULEVARD TO THE SHASTA COUNTY LINE |
| QA Service Level | 1 (Verified on 03/18/2024) |
Sample Information
| Sample Taken Date | 08/06/2024 | Sample Unique Key | 105 |
|---|---|---|---|
| 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 | 08/16/2024 |
| Sample type | Acceptance | A brief description of the sample | Scrap Tire |
| The quantity of what the sample constitutes | 1 Bag | From where was the sample collected | Source |
| First name of sampler or witnessed by | Cindy | Last name of sampler or witnessed by | Bryant |
| Title of sampler | TET | Telephone number of sampler | (530) 604-5116 |
| Laboratory sample identification | 24-0143 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | American Tire Recycling | Transportation Laboratory (TL) Number | C854553 |
| 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 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-08-06-105-1 CTM 385-July 2022 (Verified)