Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2021-10-14-42
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 215083 DEA: 07307504 EFIS: 0714000217 |
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DIST-CO-RTE-PM | 07-LA-101-11.8/31.1 |
Award Date | 09/21/2020 |
Closeout Date | 08/25/2022 |
Work Description | PLACE RHMA-G, MODIFY RAMP METERING AND SIGNAL AND LIGHTING SYSTEMS. |
Location Description | LOS ANGELES COUNTY FROM TUJUNGA AVENUE UNDERCROSSING TO LAS VIRGENES ROAD OVERCROSSING |
QA Service Level | 1 (Verified on 11/18/2020) |
Sample Information
Sample Taken Date | 10/14/2021 | Sample Unique Key | 42 |
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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 | 10/18/2021 |
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 | Victor | Last name of sampler or witnessed by | Pham |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 0591G-21 | Linked DIME Sample ID | 2021-10-14-41 |
The fabricator/manufacturer/facility name | Vulcan Sun Valley | 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: 2021-10-14-42-1 CTM 385-November 2016 (Verified)
DIME Test ID: 2021-10-14-42-2 CTM 208-September 2011 (Verified)