Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2026-06-10-35

Project Information

Project IdentifiersProject ID: 1000481
DEA: 081C07U4
EFIS: 0824000168
DIST-CO-RTE-PM08-RIV-74-27.5/34.3
Award Date08/11/2025
Closeout DateNot set
Work DescriptionRUBBERIZED HMA, FIBER OPTIC CABLE SYSTEMS, AND COLD PLANE AC PAVEMENT.
Location DescriptionRIVERSIDE COUNTY AT AND NEAR ROMOLAND AND HOMELAND FROM BONNIE DRIVE TO WINCHESTER ROAD
QA Service Level1 (Verified on 09/02/2024)

Sample Information

Sample Taken Date06/10/2026 Sample Unique Key35
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 testing06/12/2026
Sample typeVerification A brief description of the sampleJMF Verif. 3/4" RHMA-G, 0.5% LAS PG64-16RB
The quantity of what the sample constitutes1 Can of Crum Rubber, 1 Can of Hi-Nat From where was the sample collectedManufacturer
First name of sampler or witnessed byDylan Last name of sampler or witnessed byNault
Title of sampler Telephone number of sampler
Laboratory sample identification0316G-26 Linked DIME Sample ID
The fabricator/manufacturer/facility nameMartin Marietta - Lake Elsinore 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 Number

Submitted Tests

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