DIME - Sample Record for DIME Sample ID 2025-07-23-32

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Sample Record

DIME Sample ID 2025-07-23-32

Project Information

Project Identifiers	Project ID: 994962 DEA: 07357304 EFIS: 0719000062
DIST-CO-RTE-PM	07-LA-5-6.6/13.1
Award Date	04/27/2023
Closeout Date	05/29/2026
Work Description	REPLACE CONCRETE SLABS AND MEDIAN BARRIER,
Location Description	LOS ANGELES COUNTY IN SANTA FE SPRINGS, DOWNEY AND CITY OF COMMERCE FROM 0.2 MILE SOUTH OF ROUTE 5/605 SEPARATION TO 0.1 MILE NORT
QA Service Level	1 (Verified on 07/13/2023)

Owner Lab

CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date	07/23/2025	Sample Unique Key	32
Date that the sample was received by the laboratory/organization performing the testing	07/25/2025	Sample type	Verification
A brief description of the sample	Hi-Nat	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	Lbero / Victor
Last name of sampler or witnessed by	S Equoia	Title of sampler
Telephone number of sampler		Laboratory sample identification	0463G-25
Linked DIME Sample ID		The fabricator/manufacturer/facility name	All American Asphalt-Corona
Transportation Laboratory (TL) Number		Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier		Structure name
Bid Item	Not set

Material Information

Material Type	Crumb Rubber Modifier	CRM Type	High Natural
Crumb Rubber Modifier Mix Number	106836

Submitted Tests

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