Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-11-08-40
Project Information
Project Identifiers | Project ID: 214697 DEA: 07307104 EFIS: 0714000213 |
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DIST-CO-RTE-PM | 07-LA-101-32.8 |
Award Date | Not set |
Closeout Date | Not set |
Work Description | CONSTRUCT BRIDGE. |
Location Description | LOS ANGELES COUNTY IN AND NEAR AGOURA HILLS FROM 0.1 MILE WEST OF LIBERTY CANYON ROAD UNDERCROSSING TO 0.6 MILE EAST OF PALO COMADO OVERCROSSING |
QA Service Level | 1 (Verified on 07/12/2021) |
Sample Information
Sample Taken Date | 11/08/2024 | Sample Unique Key | 40 |
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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 | 11/13/2024 |
Sample type | Verification | A brief description of the sample | JMF 3/4" RHMA-G-SP 0.5% LAS |
The quantity of what the sample constitutes | 1 Bag of Hi-Nat | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | John | Last name of sampler or witnessed by | Meijah |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 0621G-24 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Ingevity, Valero, Fish Canyon Irwindale | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Crumb Rubber Modifier | CRM Type | High Natural |
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Crumb Rubber Modifier Mix Number | 226108M SVA VLO |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |