DIME - Sample Record for DIME Sample ID 2022-10-24-20

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Sample Record

DIME Sample ID 2022-10-24-20

Project Information

Project Identifiers	Project ID: 214493 DEA: 07311704 EFIS: 0715000013
DIST-CO-RTE-PM	07-LA-134-0.0/R13.3
Award Date	04/16/2020
Closeout Date	07/09/2024
Work Description	CONCRETE SLAB REPLACEMENT, HMA PAVING, ELECTRICAL AND LANDSCAPE WORK.
Location Description	LOS ANGELES COUNTY IN LOS ANGELES, BURBANK, GLENDALE AND PASADENA FROM ROUTE 101/134 SEPARATION TO JUNCTION OF ROUTE 210/710
QA Service Level	1 (Verified on 04/15/2020)

Owner Lab

CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date	10/24/2022	Sample Unique Key	20
Date that the sample was received by the laboratory/organization performing the testing	10/27/2022	Sample type	Verification
A brief description of the sample	Hi-Natural	The quantity of what the sample constitutes	1 Bag Hi-Nat
From where was the sample collected	Manufacturer	First name of sampler or witnessed by	Victor
Last name of sampler or witnessed by	Pham	Title of sampler
Telephone number of sampler		Laboratory sample identification	0713G-22
Linked DIME Sample ID		The fabricator/manufacturer/facility name	All American Asphalt-Irwindale
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
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