Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2021-07-23-25
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 215609 DEA: 074W9404 EFIS: 0720000196 |
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DIST-CO-RTE-PM | 07-LA-101-0.0/1.0 |
Award Date | 05/06/2021 |
Closeout Date | 07/14/2022 |
Work Description | COLD PLANE AND OVERLAY WITH RUBBERIZED HOT MIX ASPHALT, SLURRY SEAL. |
Location Description | LOS ANGELES COUNTY IN LOS ANGELES FROM ROUTE 10/101 SEPARATION TO SPRING STREET OVERCROSSING |
QA Service Level | 1 (Verified on 08/17/2021) |
Sample Information
Sample Taken Date | 07/23/2021 | Sample Unique Key | 25 |
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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 | 07/27/2021 |
Sample type | Verification | A brief description of the sample | Crumb Rubber Scrap |
The quantity of what the sample constitutes | 1 Bag of Scrap Crumb Rubber | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Blue Diamond Irwindale | Last name of sampler or witnessed by | QC |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 0431G-21 | Linked DIME Sample ID | 2021-07-23-5 |
The fabricator/manufacturer/facility name | Blue Diamond Material-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 | Scrap Tire |
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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: 2021-07-23-25-1 CTM 385-November 2016 (Verified)
DIME Test ID: 2021-07-23-25-2 CTM 208-September 2011 (Verified)