Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2025-07-09-85

Project Information

Project IdentifiersProject ID: 1001213
DEA: 11431644
EFIS: 1122000232
DIST-CO-RTE-PM11-SD-78-N17.7
Award DateNot set
Closeout DateNot set
Work DescriptionCold plane, RHMA overlay, Concrete Barriers, Landscape and Electrical.
Location DescriptionIN SAN DIEGO COUNTY FROM ROUTE 78/5 SEPARATION TO 0.3 MILE EAST OF ESCONDIDO BOULEVARD UNDERCROSSING.
QA Service Level1 (Verified on 05/07/2025)

Sample Information

Sample Taken Date07/09/2025 Sample Unique Key85
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 testing07/28/2025
Sample typeVerification A brief description of the sampleHi-Nat
The quantity of what the sample constitutes2 Bags of Hi-Natural From where was the sample collectedManufacturer
First name of sampler or witnessed byMartin Last name of sampler or witnessed byMarietta
Title of sampler Telephone number of sampler
Laboratory sample identification0425O-25 Linked DIME Sample ID
The fabricator/manufacturer/facility nameMartin Marietta-Lakeside 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 Number21216180

Submitted Tests

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