Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2026-08-18-74

Project Information

Project IdentifiersProject ID: 1000888
DEA: 07346304
EFIS: 0718000073
DIST-CO-RTE-PM07-LA-101-7.9/11.8
Award Date04/28/2025
Closeout DateNot set
Work DescriptionINSTALL RUBBERIZED HOT MIXED ASPHALT.
Location DescriptionLOS ANGELES COUNTY IN THE CITY AND COUNTY OF LOS ANGELES FROM 0.1 MILE SOUTH OF PILGRIMAGE OVERCROSSING TO ROUTE 101/170 SEPARATION.
QA Service Level1 (Verified on 07/16/2025)

Sample Information

Sample Taken Date08/18/2026 Sample Unique Key74
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 testing08/24/2026
Sample typeVerification A brief description of the sample1/2" RHMA G SP 1.0% LAS
The quantity of what the sample constitutes6 Bags of Combined Aggregate, 1 Bag of Crum Rubber, 1 Bag of Hi-Nat From where was the sample collectedManufacturer
First name of sampler or witnessed byVictor Last name of sampler or witnessed byPham
Title of sampler Telephone number of sampler
Laboratory sample identification0539G-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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