Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2026-07-15-65
Project Information
| Project Identifiers | Project ID: 1002260 DEA: 081N8104 EFIS: 0823000050 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-40-R135.9/R143.8 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | RHMA-open graded (OGFC), cold plane AC Pvmt, & replace AC Surf. |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 06/02/2026) |
Sample Information
| Sample Taken Date | 07/15/2026 | Sample Unique Key | 65 |
|---|---|---|---|
| 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 | 07/21/2026 |
| Sample type | JMF Verification | A brief description of the sample | 1/2" RHMA-G 1.0% LSM |
| The quantity of what the sample constitutes | 3Bgs Comb Cld-feed Ag 3Bgs 1/2",3/8" Crshd Ag Vir ea 2Bgs Mfd Sand,1Bg Crum Rbr,1Bag Hi-Nat | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Benjamin | Last name of sampler or witnessed by | Alfaro |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0425G-26 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Blue Diamond - Victorville | 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 | High Natural |
|---|---|---|---|
| Crumb Rubber Modifier Mix Number |
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. | |||
