DIME » All Projects » Project - DEA: 112N0454 » Sample 2021-10-27-23 » Sample Details

Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2021-10-27-23

Project Information

Project IdentifiersProject ID: 215360
DEA: 112N0454
EFIS: 1118000198
DIST-CO-RTE-PM11-SD-94-30.0/39.0
Award Date02/18/2021
Closeout Date08/02/2022
Work DescriptionPLACING CHIP SEAL, SLURRY SEAL, SHOULDER BACKING AND STRIPING.
Location DescriptionSAN DIEGO COUNTY NEAR DULZURA AND BARRETT JUNCTION FROM 0.9 MILE EAST OF GRANDE CREEK BRIDGE TO ROUTE 188.
QA Service Level1 (Verified on 02/08/2021)

Sample Information

Sample Taken Date10/27/2021 Sample Unique Key23
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 testing11/10/2021
Sample typeVerification A brief description of the sampleCrumb Rubber Scrap for use in Chip Seal
The quantity of what the sample constitutes1 Bag of Scrap Crumb Rubber From where was the sample collectedManufacturer
First name of sampler or witnessed byNot Last name of sampler or witnessed byProvided
Title of sampler Telephone number of sampler
Laboratory sample identification5149 Linked DIME Sample ID
The fabricator/manufacturer/facility namePlant Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeCrumb Rubber Modifier CRM TypeScrap Tire
Crumb Rubber Modifier Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.

Sample File Attachments

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Test File Attachments