Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2023-06-02-32
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 214437 DEA: 07323104 EFIS: 0716000061 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-210-R36.0/R40.6 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | PSR-TMDL |
| Location Description | LOS ANGELES COUNTY IN IRWINDALE AND AZUSA FROM 0.1 MILE EAST HIGHLAND AVENUE UNDERCROSSING TO SOUTH CITRUS AVENUE OVERCROSSING |
| QA Service Level | 1 (Verified on 06/30/2021) |
Sample Information
| Sample Taken Date | 06/02/2023 | Sample Unique Key | 32 |
|---|---|---|---|
| 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 | 06/07/2023 |
| Sample type | Verification | A brief description of the sample | Hi-Natural |
| The quantity of what the sample constitutes | 1 Bag of Hi-Natural | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Jons | Last name of sampler or witnessed by | QC |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0299G-23 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Vulcan Materials-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 | Scrap Tire |
|---|---|---|---|
| Crumb Rubber Modifier Mix Number | 220108M IRW LTR |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-06-02-32-1 CTM 208-September 2011 (Verified)
DIME Test ID: 2023-06-02-32-2 CTM 385-November 2016 (Verified)