Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2025-10-07-37

Project Information

Project IdentifiersProject ID: 214649
DEA: 07316004
EFIS: 0715000194
DIST-CO-RTE-PM07-LA-14-60.70
Award Date02/07/2023
Closeout DateNot set
Work DescriptionREHABILITATION FOR THE ON/OFF RAMPS AND ADJACENT SHOULDERS. UPGRADING METAL BEAM GUARDRAILS, AC DIKES, SIGN PANELS, CURB RAMPS, TRAFFIC LOOPS DETECTORS, AND SOME OTHER HIGHWAY APPURTENANCES.
Location DescriptionROUTE 14 FROM PALMDALE BLVD TO KERN COUNTRY LINE.
QA Service Level1 (Verified on 01/29/2020)

Sample Information

Sample Taken Date10/07/2025 Sample Unique Key37
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 testing10/10/2025
Sample typeVerification A brief description of the sampleHi-Nat
The quantity of what the sample constitutes 1 Bag of Hi-Natural From where was the sample collectedManufacturer
First name of sampler or witnessed byC. Gonzales Last name of sampler or witnessed byGonzales
Title of sampler Telephone number of sampler
Laboratory sample identification0640G-25 Linked DIME Sample ID
The fabricator/manufacturer/facility nameVulcan - Sun Valley 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 Number226108M SVA VLO

Submitted Tests

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