Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2021-07-23-8

Project Information

Project IdentifiersProject ID: 215609
DEA: 074W9404
EFIS: 0720000196
DIST-CO-RTE-PM07-LA-101-0.0/1.0
Award Date05/06/2021
Closeout Date07/14/2022
Work DescriptionCOLD PLANE AND OVERLAY WITH RUBBERIZED HOT MIX ASPHALT, SLURRY SEAL.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES FROM ROUTE 10/101 SEPARATION TO SPRING STREET OVERCROSSING
QA Service Level1 (Verified on 08/17/2021)

Sample Information

Sample Taken Date07/23/2021 Sample Unique Key8
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 testing07/27/2021
Sample typeVerification A brief description of the sampleAsphalt Rubber Binder
The quantity of what the sample constitutes1 Quart Can From where was the sample collectedSupplier
First name of sampler or witnessed byBlue Diamond Last name of sampler or witnessed byQC
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameBlue Diamond Material-Irwindale Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Rubber Binder Asphalt modifier supplier
Performance GradePG 64-16 Lot number
Sublot number JMF Verification ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.