Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2025-07-09-84
Project Information
| Project Identifiers | Project ID: 1001213 DEA: 11431644 EFIS: 1122000232 |
|---|---|
| DIST-CO-RTE-PM | 11-SD-78-N17.7 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Cold plane, RHMA overlay, Concrete Barriers, Landscape and Electrical. |
| Location Description | IN SAN DIEGO COUNTY FROM ROUTE 78/5 SEPARATION TO 0.3 MILE EAST OF ESCONDIDO BOULEVARD UNDERCROSSING. |
| QA Service Level | 1 (Verified on 05/07/2025) |
Sample Information
| Sample Taken Date | 07/09/2025 | Sample Unique Key | 84 |
|---|---|---|---|
| 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 | 07/28/2025 |
| Sample type | Verification | A brief description of the sample | Scrap |
| The quantity of what the sample constitutes | 2 bags of Crumb Rubber Scrap | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Martin | Last name of sampler or witnessed by | Marietta |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0425O-25 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Martin Marietta-Lakeside | 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 | Scrap Tire |
|---|---|---|---|
| Crumb Rubber Modifier Mix Number | 21216180 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
