Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2024-08-12-60
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Project Information
| Project Identifiers | Project ID: 1000002 DEA: 010M6404 EFIS: 0123000051 |
|---|---|
| DIST-CO-RTE-PM | 01-LAK-29-R45.1/52.5 |
| Award Date | 03/14/2024 |
| Closeout Date | 03/20/2025 |
| Work Description | RHMA-G, COLD PLANE AC PAVEMENT, AND PAVEMENT DELINEATION. |
| Location Description | LAKE COUNTY NEAR LAKEPORT FROM PARK WAY OVERCROSSING TO ROUTE 20 |
| QA Service Level | 1 (Verified on 01/10/2024) |
Sample Information
| Sample Taken Date | 08/12/2024 | Sample Unique Key | 60 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 08/16/2024 |
| Sample type | Quality Assurance | 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 | Felipe | Last name of sampler or witnessed by | Damian |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 24-0145 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Granite 175 HMA Plant | Transportation Laboratory (TL) Number | C881514 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | 1 | 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: 2024-08-12-60-1 CTM 385-July 2022 (Verified)