Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2023-08-15-38
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993806 DEA: 07330504 EFIS: 0716000214 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-710-R15.1/21.9 |
| Award Date | 08/02/2022 |
| Closeout Date | Not set |
| Work Description | INSTALL HIGHWAY PLANTING AND PLACE MINOR CONCRETE. |
| Location Description | LOS ANGELES COUNTY AT VARIOUS LOCATIONS FROM 0.2 MILE NORTH OF ROSECRANS AVENUE TO 0.1 MILE SOUTH OF ATLANTIC AVENUE UNDERCROSSING |
| QA Service Level | 1 (Verified on 05/11/2022) |
Sample Information
| Sample Taken Date | 08/15/2023 | Sample Unique Key | 38 |
|---|---|---|---|
| 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 | 08/18/2023 |
| 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 | 0420G-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 | High Natural |
|---|---|---|---|
| Crumb Rubber Modifier Mix Number | 226108M IRW LTR |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-08-15-38-1 CTM 208-September 2011 (Verified)
DIME Test ID: 2023-08-15-38-2 CTM 385-November 2016 (Verified)