Sample Record
Owner Lab
- CT HQ - Sacramento Asphalt Binder Laboratory
DIME Sample ID 2025-10-28-127
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Project Information
| Project Identifiers | Project ID: 1000912 DEA: 061G7704 EFIS: 0624000165 |
|---|---|
| DIST-CO-RTE-PM | 06-KIN-5-16.6/26.7 |
| Award Date | 04/01/2025 |
| Closeout Date | Not set |
| Work Description | REMOVE AND REPLACE ASPHALT CONCRETE OVERLAY. |
| Location Description | KINGS COUNTY IN AND NEAR AVENAL FROM ROUTE 5/41 SEPARATION TO FRESNO COUNTY LINE |
| QA Service Level | 1 (Verified on 02/11/2025) |
Sample Information
| Sample Taken Date | 10/28/2025 | Sample Unique Key | 127 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 12/05/2025 |
| Sample type | Quality Assurance | A brief description of the sample | Hi-Natural and Scrap Crumb Rubber |
| The quantity of what the sample constitutes | 1 Bag each of Hi-Natural and Scrap Crumb Rubber | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Unknown | Last name of sampler or witnessed by | Unknown |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | 2025-10-28-128 | |
| The fabricator/manufacturer/facility name | American Tire Recycling | 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 | unknown |
Submitted Tests
Test File Attachments
DIME Test ID: 2025-10-28-127-1 CTM 385-July 2022 (Verified)