Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-08-28-58
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 995085 DEA: 07322904 EFIS: 0716000059 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-27-0.0/18.6 |
| Award Date | 11/06/2023 |
| Closeout Date | Not set |
| Work Description | REMOVE EXISTING AC PAVEMENT & HMA OVERLAY. |
| Location Description | LOS ANGELES COUNTY IN AND NEAR LOS ANGELES FROM ROUTE 1 TO DEVONSHIRE STREET |
| QA Service Level | 1 (Verified on 09/11/2023) |
Sample Information
| Sample Taken Date | 08/28/2024 | Sample Unique Key | 58 |
|---|---|---|---|
| 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 | 09/05/2024 |
| Sample type | Verification | A brief description of the sample | Hi-Nat |
| The quantity of what the sample constitutes | 1 Can of Hi-Natural | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | John | Last name of sampler or witnessed by | Mejiah |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0450G-24 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Vulcan -Sun Valley | 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 | High Natural |
|---|---|---|---|
| Crumb Rubber Modifier Mix Number | 326120M SVA VLO |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||