Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2022-06-02-21
Project Information
Project Identifiers | Project ID: 214573 DEA: 073096U4 EFIS: 0719000091 |
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DIST-CO-RTE-PM | 07-LA-210-R0.0/R9.7 |
Award Date | 04/03/2020 |
Closeout Date | 06/06/2024 |
Work Description | PLACE CONCRETE PAVEMENT, BARRIER, HMA, DRAINAGE, AND ELECTRICAL. |
Location Description | LOS ANGELES COUNTY IN LOS ANGELES FROM INTERSTATE 5 TO WHEATLAND AVENUE UNDERCROSSING |
QA Service Level | 1 (Verified on 06/05/2020) |
Sample Information
Sample Taken Date | 06/02/2022 | Sample Unique Key | 21 |
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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 | 06/09/2022 |
Sample type | Verification | A brief description of the sample | Scrap Crum Rubber |
The quantity of what the sample constitutes | 1 Qt. Crum Rubber | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Chris | Last name of sampler or witnessed by | Hurtado |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 0347G-22 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Vulcan Materials-Sun Valley #3 | 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: 2022-06-02-21-1 CTM 208-September 2011 (Verified)
DIME Test ID: 2022-06-02-21-2 CTM 385-November 2016 (Verified)