Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2021-07-23-8
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215609 DEA: 074W9404 EFIS: 0720000196 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-101-0.0/1.0 |
| Award Date | 05/06/2021 |
| Closeout Date | 07/14/2022 |
| Work Description | COLD PLANE AND OVERLAY WITH RUBBERIZED HOT MIX ASPHALT, SLURRY SEAL. |
| Location Description | LOS ANGELES COUNTY IN LOS ANGELES FROM ROUTE 10/101 SEPARATION TO SPRING STREET OVERCROSSING |
| QA Service Level | 1 (Verified on 08/17/2021) |
Sample Information
| Sample Taken Date | 07/23/2021 | Sample Unique Key | 8 |
|---|---|---|---|
| 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 testing | 07/27/2021 |
| Sample type | Verification | A brief description of the sample | Asphalt Rubber Binder |
| The quantity of what the sample constitutes | 1 Quart Can | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Blue Diamond | Last name of sampler or witnessed by | QC |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Blue Diamond Material-Irwindale | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphalt Rubber Binder | Asphalt modifier supplier | |
|---|---|---|---|
| Performance Grade | PG 64-16 | Lot number | |
| Sublot number | Asphalt Rubber Binder Mix Number | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||