Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2024-11-08-40

Project Information

Project IdentifiersProject ID: 214697
DEA: 07307104
EFIS: 0714000213
DIST-CO-RTE-PM07-LA-101-32.8
Award DateNot set
Closeout DateNot set
Work DescriptionCONSTRUCT BRIDGE.
Location DescriptionLOS 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 Level1 (Verified on 07/12/2021)

Sample Information

Sample Taken Date11/08/2024 Sample Unique Key40
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 testing11/13/2024
Sample typeVerification A brief description of the sampleJMF 3/4" RHMA-G-SP 0.5% LAS
The quantity of what the sample constitutes1 Bag of Hi-Nat From where was the sample collectedManufacturer
First name of sampler or witnessed byJohn Last name of sampler or witnessed byMeijah
Title of sampler Telephone number of sampler
Laboratory sample identification0621G-24 Linked DIME Sample ID
The fabricator/manufacturer/facility nameIngevity, 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 TypeCrumb Rubber Modifier CRM TypeHigh Natural
Crumb Rubber Modifier Mix Number226108M SVA VLO

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments