Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2022-04-20-46
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993398 DEA: 07319204 EFIS: 0716000020 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-91,105,110,405-Various |
| Award Date | 01/05/2022 |
| Closeout Date | 08/25/2022 |
| Work Description | COLD PLANE, AND PLACE RUBBERIZED HMA AND RUMBLE STRIPS. |
| Location Description | LOS ANGELES COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 12/06/2021) |
Sample Information
| Sample Taken Date | 04/20/2022 | Sample Unique Key | 46 |
|---|---|---|---|
| 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 | 05/26/2022 |
| Sample type | Verification | A brief description of the sample | Scrap |
| The quantity of what the sample constitutes | 1 Bag Scrap | 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 | 0253G-22 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | All American Asphalt-Irvine | 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 |
|---|---|---|---|
| Crumb Rubber Modifier Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-04-20-46-1 CTM 385-November 2016 (Verified)
DIME Test ID: 2022-04-20-46-2 CTM 208-September 2011 (Verified)