Sample Record

DIME Sample ID 2025-10-06-31

Project Information

Project IdentifiersProject ID: 1001225
DEA: 070Y1604
EFIS: 0724000137
DIST-CO-RTE-PM07-LA-210-R9.9/R22.5
Award Date06/26/2025
Closeout DateNot set
Work DescriptionSLAB REPLACEMENT, SLURRY SEAL, AND DIGOUTS.
Location DescriptionLOS ANGELES COUNTY, IN LOS ANGELES, LA CANADA FLINTRIDGE, GLENDALE, AND PASADENA FROM BIG TUJUNGA WASH BRIDGE TO ARROYO BOULEVARD OVERCROSSING
QA Service Level1 (Verified on 07/02/2025)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date10/06/2025 Sample Unique Key31
Date that the sample was received by the laboratory/organization performing the testing10/09/2025 Sample typeVerification
A brief description of the samplePSUE 1/2" RHMA-G-SP 1.0% LAS The quantity of what the sample constitutes1 bag crumb rubber
From where was the sample collectedManufacturer First name of sampler or witnessed byDaniel
Last name of sampler or witnessed bySequoia Title of sampler
Telephone number of sampler Laboratory sample identification0638G-25
Linked DIME Sample ID The fabricator/manufacturer/facility nameAAA-Corona/ Irwindale/ SJR/ Rohm & Haas (Morelife 5000)
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 TypeScrap Tire
Crumb Rubber Modifier Mix Number106836

Submitted Tests

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