Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2026-06-28-27

Project Information

Project IdentifiersProject ID: 1000777
DEA: 07370404
EFIS: 0720000128
DIST-CO-RTE-PM07-LA-5-R59.5/R73.7
Award Date02/06/2025
Closeout DateNot set
Work DescriptionCOLD PLANE AC PAVEMENT, PLACE HOT MIX ASPHALT AND INSTALL MGS.
Location DescriptionLOS ANGELES COUNTY FROM LAKE HUGHES ROAD UNDERCROSSING TO 0.7 MILE SOUTH OF VISTA DEL LAGO ROAD OVERCROSSING.
QA Service Level1 (Verified on 11/25/2024)

Sample Information

Sample Taken Date06/28/2026 Sample Unique Key27
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 testing07/02/2026
Sample typeVerification A brief description of the sampleAsphalt Rubber Binder
The quantity of what the sample constitutes1can From where was the sample collectedSource
First name of sampler or witnessed byStuwart Ahumada (QC) Last name of sampler or witnessed byAhumada
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGriffith Edmonston Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeAsphalt Rubber Binder Asphalt modifier supplier
Performance GradePG 64-16 Lot number
Sublot number Asphalt Rubber Binder Mix Number

Submitted Tests

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