Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2023-07-27-50
Project Information
Project Identifiers | Project ID: 994328 DEA: 081H0604 EFIS: 0816000130 |
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DIST-CO-RTE-PM | 08-RIV-74-34.3/45.1 |
Award Date | 01/03/2023 |
Closeout Date | Not set |
Work Description | FIBER OPTIC CABLE SYSTEMS, RHMA, HMA, AND MINOR CONCRETE. |
Location Description | RIVERSIDE COUNTY IN AND NEAR HEMET FROM WINCHESTER ROAD TO FAIRVIEW AVENUE |
QA Service Level | 1 (Verified on 08/28/2023) |
Sample Information
Sample Taken Date | 07/27/2023 | Sample Unique Key | 50 |
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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 | 07/31/2023 |
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 | Victor | Last name of sampler or witnessed by | Capacete |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 0396G-23 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | All American Asphalt Perris | 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 | 106836 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2023-07-27-50-1 CTM 208-September 2011 (Verified)
DIME Test ID: 2023-07-27-50-2 CTM 385-November 2016 (Verified)