Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2025-03-04-37

Project Information

Project IdentifiersProject ID: 66667
DEA: JMFPP
EFIS: 0019000043
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for submitting Sample information for JMF Prequalification Program.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date03/04/2025 Sample Unique Key37
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 testing03/06/2025
Sample typeVerification A brief description of the sampleCrumb Rubber High Natural
The quantity of what the sample constitutes1 Can Of Crumb Rubber Hi-Nat From where was the sample collectedManufacturer
First name of sampler or witnessed byCHRISTOPHER Last name of sampler or witnessed byLucero
Title of sampler Telephone number of sampler
Laboratory sample identification0154G-25 Linked DIME Sample ID
The fabricator/manufacturer/facility nameIngevity, SJR, Vulcan Corona/ Irwindale, CRM 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 Number326122 CORD SJR

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments