DIME » All Projects » Project - DEA: 070W1404 » Sample 2022-10-19-35 » Sample Details

Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2022-10-19-35

Project Information

Project IdentifiersProject ID: 993805
DEA: 070W1404
EFIS: 0721000062
DIST-CO-RTE-PM07-VEN-1-4.4/9.7
Award Date06/24/2022
Closeout DateNot set
Work DescriptionCOLD PLACE AC PAVEMENT AND PLACE RHMA-G.
Location DescriptionVENTURA COUNTY FROM BIG SYCAMORE MAINTENANCE STATION AND PARK TO 0.2 MILE SOUTH OF GALLEGUAS GREEK BRIDGE
QA Service Level1 (Verified on 05/11/2022)

Sample Information

Sample Taken Date10/19/2022 Sample Unique Key35
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 testing10/24/2022
Sample typeVerification A brief description of the sampleHi-Natural
The quantity of what the sample constitutes1 Qt. Hi-Nat From where was the sample collectedManufacturer
First name of sampler or witnessed byVulcan Last name of sampler or witnessed byQC
Title of sampler Telephone number of sampler
Laboratory sample identification0705G-22 Linked DIME Sample ID
The fabricator/manufacturer/facility nameVulcan Materials-Saticoy 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 TypeHigh Natural
Crumb Rubber Modifier Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments