Sample Record
Owner Lab
- CT HQ - QAM Sacramento Field Laboratory
DIME Sample ID 2017-12-19-8
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Project Information
| Project Identifiers | Project ID: 99999 DEA: 0322222 |
|---|---|
| DIST-CO-RTE-PM | 03-SAC,OMG-888,99,80-0.6-0.6 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES. |
| Location Description | THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES. |
| QA Service Level | (Verified on 04/05/2013) |
Sample Information
| Sample Taken Date | 12/19/2017 | Sample Unique Key | 8 |
|---|---|---|---|
| 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 | 12/19/2017 |
| Sample type | Quality Control | A brief description of the sample | TEST Antistrip |
| The quantity of what the sample constitutes | TEST Quantity | From where was the sample collected | Other |
| First name of sampler or witnessed by | TEST First | Last name of sampler or witnessed by | TEST Last |
| Title of sampler | TEST Sampler | Telephone number of sampler | 6268566190 |
| Laboratory sample identification | Lab 326120 | Linked DIME Sample ID | TEST DIME ID |
| The fabricator/manufacturer/facility name | CRM | Transportation Laboratory (TL) Number | TL 326120 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | TEST TL | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | Crumb Rubber Modifier | CRM Type | High Natural |
|---|---|---|---|
| Crumb Rubber Modifier Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-12-19-8-1 CTM 385-November 2016 (Verified)