Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2021-08-16-31
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 215446 DEA: 120S4504 EFIS: 1220000070 |
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DIST-CO-RTE-PM | 12-ORA-39-8.5/11.7 |
Award Date | 03/02/2021 |
Closeout Date | 03/01/2022 |
Work Description | COLD PLANE AC PVMT AND PLACE RHMA |
Location Description | ORANGE COUNTY IN WESTMINSTER AND STANTON FROM ROUTE 22/39 SEPARATION TO STARR STREET |
QA Service Level | 1 (Verified on 02/22/2021) |
Sample Information
Sample Taken Date | 08/16/2021 | Sample Unique Key | 31 |
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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 | 08/24/2021 |
Sample type | Verification | A brief description of the sample | Crumb Rubber High Natural |
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 | RJ Noble Orange | Last name of sampler or witnessed by | QC |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 0495G-21 | Linked DIME Sample ID | 2021-08-16-29 |
The fabricator/manufacturer/facility name | RJ Noble Orange | 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: 2021-08-16-31-1 CTM 385-November 2016 (Verified)
DIME Test ID: 2021-08-16-31-2 CTM 208-September 2011 (Verified)