Sample Record
DIME Sample ID 2023-09-11-26
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Project Information
| Project Identifiers | Project ID: 993742 DEA: 07321804 EFIS: 0716000052 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-405-7.0/12.9 |
| Award Date | 07/06/2022 |
| Closeout Date | 03/13/2025 |
| Work Description | PLACE MINOR CONCRETE AND HOT MIX ASPHALT. |
| Location Description | LOS ANGELES COUNTY IN AND NEAR LONG BEACH, CARSON AND LOS ANGELES AT VARIOUS LOCATIONS FROM 0.1 MILE NORTH OF ROUTE 710 TO ROUTE 110/405 SEPARATION |
| QA Service Level | 1 (Verified on 05/11/2022) |
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
Sample Information
| Sample Taken Date | 09/11/2023 | Sample Unique Key | 26 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 09/12/2023 | Sample type | Verification |
| A brief description of the sample | Hi-Nat | The quantity of what the sample constitutes | 1 Bag of Hi-Natural |
| From where was the sample collected | Manufacturer | First name of sampler or witnessed by | Zubieta |
| Last name of sampler or witnessed by | Tec | Title of sampler | |
| Telephone number of sampler | Laboratory sample identification | 0468G-23 | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | All American Asphalt- Corona | |
| 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 | 106835 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-09-11-26-1 CTM 208-September 2011 (Verified)
DIME Test ID: 2023-09-11-26-2 CTM 385-July 2022 (Verified)