Sample Record

Owner Labs

  • CT D05 - Santa Maria Field Laboratory
  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2024-08-27-14

Project Information

Project IdentifiersProject ID: 1000022
DEA: 051Q4904
EFIS: 0523000037
DIST-CO-RTE-PM05-SLO,SB-166-R30.4/R35.0
Award Date06/12/2024
Closeout Date11/26/2024
Work DescriptionCOLD PLANE AC PAVEMENT AND OVERLAY WITH RHMA-G.
Location DescriptionSANTA BARBARA AND SAN LUIS OBISPO COUNTIES ABOUT 20 MILES EAST OF SANTA MARIA FROM CUYAMA RIVER BRIDGE TO CUYAMA RIVER BRIDGE.
QA Service Level1 (Verified on 01/19/2024)

Sample Information

Sample Taken Date08/27/2024 Sample Unique Key14
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 testing08/27/2024
Sample typeQuality Assurance A brief description of the sampleHI NAT crumb rubber
The quantity of what the sample constitutes2 Gallons, 1 Shipment From where was the sample collectedSupplier
First name of sampler or witnessed byIsaac Last name of sampler or witnessed byGleffe
Title of sampler Telephone number of sampler8053191237
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCRM 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 TypeHigh Natural
Crumb Rubber Modifier Mix Number

Submitted Tests

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