Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2021-08-06-28
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 214921 DEA: 09367404 EFIS: 0916000025 |
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DIST-CO-RTE-PM | 09-KER-14-R4.7/R12.6 |
Award Date | Not set |
Closeout Date | 01/23/2023 |
Work Description | CONSTRUCT CRCP OVER EXISTING PAVEMENT AND PLACE HMA. |
Location Description | KERN COUNTY AT AND NEAR ROSAMOND AND MOJAVE FROM 1.4 MILES SOUTH OF DAWN ROAD OVERCROSSING TO 0.5 MILE NORTH OF SILVER QUEEN ROAD OVERCROSSING |
QA Service Level | 1 (Verified on 11/06/2020) |
Sample Information
Sample Taken Date | 08/06/2021 | 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 | 08/09/2021 |
Sample type | Verification | A brief description of the sample | Hi Natural Crumb Rubber |
The quantity of what the sample constitutes | 1 Bag of Hi Natural Crumb Rubber | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Lucas | Last name of sampler or witnessed by | Lokliam |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 0448G-21 | Linked DIME Sample ID | 2021-08-06-4 |
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: 2021-08-06-28-1 CTM 385-November 2016 (Verified)
DIME Test ID: 2021-08-06-28-2 CTM 208-September 2011 (Verified)