Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2023-04-25-62
Project Information
Project Identifiers | Project ID: 993116 DEA: 07320004 EFIS: 0716000029 |
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DIST-CO-RTE-PM | 07-LA-14-R31.4/36.5 |
Award Date | 09/08/2021 |
Closeout Date | 11/01/2023 |
Work Description | INSTALL WIRED MESH DRAPERY SYSTEM AND SLOPE AND ROADSIDE PAVING. |
Location Description | LOS ANGELES COUNTY IN SANTA CLARITA FROM CANYON PARK BOULEVARD UNDERCROSSING TO SPRING CANYON ROAD UNDERCROSSING |
QA Service Level | 1 (Verified on 07/12/2021) |
Sample Information
Sample Taken Date | 04/25/2023 | Sample Unique Key | 62 |
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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 | 05/02/2023 |
Sample type | Verification | A brief description of the sample | Hi-Natural |
The quantity of what the sample constitutes | 1 Bag Of Hi-Nat | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Gerardo | Last name of sampler or witnessed by | Zubieta |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 0229G-23 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | All American Asphalt-Irwindale | 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 | High Natural |
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Crumb Rubber Modifier Mix Number | 106835 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2023-04-25-62-1 CTM 208-September 2011 (Verified)
DIME Test ID: 2023-04-25-62-2 CTM 385-November 2016 (Verified)