Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2025-09-16-61
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000777 DEA: 07370404 EFIS: 0720000128 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5-R59.5/R73.7 |
| Award Date | 02/06/2025 |
| Closeout Date | Not set |
| Work Description | COLD PLANE AC PAVEMENT, PLACE HOT MIX ASPHALT AND INSTALL MGS. |
| Location Description | LOS ANGELES COUNTY FROM LAKE HUGHES ROAD UNDERCROSSING TO 0.7 MILE SOUTH OF VISTA DEL LAGO ROAD OVERCROSSING. |
| QA Service Level | 1 (Verified on 11/25/2024) |
Sample Information
| Sample Taken Date | 09/16/2025 | Sample Unique Key | 61 |
|---|---|---|---|
| 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 | 09/24/2025 |
| Sample type | Verification | A brief description of the sample | Scrap |
| The quantity of what the sample constitutes | 1 Can of Scrap Crumb Rubber | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Robert | Last name of sampler or witnessed by | Romero |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Belt cut at Griffith- Edmonston | 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 |
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. | |||