Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2025-10-06-31
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Project Information
| Project Identifiers | Project ID: 1001225 DEA: 070Y1604 EFIS: 0724000137 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-210-R9.9/R22.5 |
| Award Date | 06/26/2025 |
| Closeout Date | Not set |
| Work Description | SLAB REPLACEMENT, SLURRY SEAL, AND DIGOUTS. |
| Location Description | LOS ANGELES COUNTY, IN LOS ANGELES, LA CANADA FLINTRIDGE, GLENDALE, AND PASADENA FROM BIG TUJUNGA WASH BRIDGE TO ARROYO BOULEVARD OVERCROSSING |
| QA Service Level | 1 (Verified on 07/02/2025) |
Sample Information
| Sample Taken Date | 10/06/2025 | Sample Unique Key | 31 |
|---|---|---|---|
| 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 | 10/09/2025 |
| Sample type | Verification | A brief description of the sample | PSUE 1/2" RHMA-G-SP 1.0% LAS |
| The quantity of what the sample constitutes | 1 bag crumb rubber | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Daniel | Last name of sampler or witnessed by | Sequoia |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0638G-25 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | AAA-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 Item | Not set |
Material Information
| Material Type | Crumb Rubber Modifier | CRM Type | Scrap Tire |
|---|---|---|---|
| Crumb Rubber Modifier Mix Number | 106836 |
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. | |||