Sample Record

DIME Sample ID 2025-08-14-81

Project Information

Project IdentifiersProject ID: 1000802
DEA: 07346804
EFIS: 0718000079
DIST-CO-RTE-PM07-VEN-232-0.4/R4.1
Award Date02/04/2025
Closeout DateNot set
Work DescriptionCOLD PLANE AND OVERLAY WITH HMA & RHMA.
Location DescriptionVENTURA COUNTY IN AND NEAR OXNARD FROM ROUTE 232/101 SEPARATION TO ROUTE 118
QA Service Level1 (Verified on 01/27/2025)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date08/14/2025 Sample Unique Key81
Date that the sample was received by the laboratory/organization performing the testing08/22/2025 Sample typeVerification
A brief description of the sample3/4" RWMA G SP .25% EVO The quantity of what the sample constitutes2 Qts of Hi-Nat
From where was the sample collectedManufacturer First name of sampler or witnessed byJohn
Last name of sampler or witnessed byMejia Title of sampler
Telephone number of sampler Laboratory sample identification0524G-25
Linked DIME Sample ID The fabricator/manufacturer/facility nameBELT CUT AT VULCAN SATICOY
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 Number226110 SAT VLO

Submitted Tests

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