Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2024-11-05-26

Project Information

Project IdentifiersProject ID: 1000368
DEA: 081J4704
EFIS: 0818000055
DIST-CO-RTE-PM08-RIV-10-R87.9,R91.0
Award Date08/07/2024
Closeout Date09/30/2025
Work DescriptionPARTIALLY GROUTED RSP, STRUCTURE EXCAVATION AND ROADWAY EXCAVATION.
Location DescriptionRIVERSIDE COUNTY NEAR CHIRIACO SUMMIT AT THREE STAR DITCH BRIDGE AND AT DETERMINATION DITCH BRIDGE
QA Service Level1 (Verified on 09/02/2024)

Sample Information

Sample Taken Date11/05/2024 Sample Unique Key26
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 testing11/08/2024
Sample typeVerification A brief description of the sampleHi-nat
The quantity of what the sample constitutes 1 Bag of Hi-Natural From where was the sample collectedManufacturer
First name of sampler or witnessed byLuke Last name of sampler or witnessed byHall
Title of sampler Telephone number of sampler
Laboratory sample identification0608G-24 Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Construction Company Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeCrumb Rubber Modifier CRM TypeHigh Natural
Crumb Rubber Modifier Mix Number14820

Submitted Tests

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