Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2026-08-11-71

Project Information

Project IdentifiersProject ID: 1002359
DEA: 070Y1204
EFIS: 0724000133
DIST-CO-RTE-PM07-LA-405-VAR
Award DateNot set
Closeout DateNot set
Work DescriptionRTE 405 PAVEMENT REHAB - INDIVIDUAL SLAB REPLACEMENT (RSC), LEAN CONCRETE BASE RAPID SETTING, BASE BOND BREAKER, RHMA-G, SLURRY SEAL, COLD PLANE, DRILL & BOND DOWELS, PAVEMENT DELINEATION, MODIFYING RAMP METERING & SIGNAL/LIGHTING SYSTEMS (166TH ST UC TO MANCHESTER BLVD OC)
Location DescriptionNot set
QA Service Level1 (Verified on 07/08/2026)

Sample Information

Sample Taken Date08/11/2026 Sample Unique Key71
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 testing08/18/2026
Sample typeVerification A brief description of the sample3/4" RWMA-G SP 0.50% LAS
The quantity of what the sample constitutes1 Bag Crum Rubber, 1 Bag Hi-Nat From where was the sample collectedManufacturer
First name of sampler or witnessed byAlex Last name of sampler or witnessed byBaher
Title of sampler Telephone number of sampler
Laboratory sample identification0527G-26 Linked DIME Sample ID
The fabricator/manufacturer/facility nameAll American Asphalt-Irwindale 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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