Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2021-08-02-28
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 210227 DEA: 07286204 EFIS: 0713000217 |
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DIST-CO-RTE-PM | 07-LA-138-56.20/55.20 |
Award Date | 03/14/2019 |
Closeout Date | 01/13/2023 |
Work Description | WIDEN ROUTE 138 TO 4 LANES WITH A MEDIAN TURN LANE AND STANDARD WIDTH SHOULDERS.; DRAINAGE IMPROVEMENTS. |
Location Description | IN LOS ANGELES COUNTY IN PALMDALE FROM 87TH STREET EAST TO 96TH STREET EAST |
QA Service Level | 1 (Verified on 06/27/2019) |
Sample Information
Sample Taken Date | 08/02/2021 | Sample Unique Key | 28 |
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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 | 08/17/2021 |
Sample type | Verification | A brief description of the sample | Crumb Rubber |
The quantity of what the sample constitutes | 1 Bag of Scrap, 1 Bag of Hi-Natural | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | William | Last name of sampler or witnessed by | Lucas |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 0474G-21 | Linked DIME Sample ID | 2021-08-02-20 |
The fabricator/manufacturer/facility name | Granite Big Rock | 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 | Not set |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-08-02-28-1 CTM 385-November 2016 (Verified)
DIME Test ID: 2021-08-02-28-2 CTM 208-September 2011 (Verified)