Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2021-06-04-15

Project Information

Project IdentifiersProject ID: 215148
DEA: 081E8404
EFIS: 0814000113
DIST-CO-RTE-PM08-RIV,SBD-62-R6.7/9.2,0.0/15.1,29.3/33.6
Award Date12/11/2020
Closeout Date03/01/2023
Work DescriptionREPLACE ROADWAY WITH RHMA-G AND HMA.
Location DescriptionIN RIVERSIDE AND SAN BERNARDINO COUNTIES IN AND NEAR YUCCA VALLEY AND IN TWENTYNINE PALMS FROM 0.2 MILE NORTH OF INDIAN CANYON DRIVE TO 0.6 MILE WEST OF UTAH TRAIL
QA Service Level1 (Verified on 03/18/2021)

Sample Information

Sample Taken Date06/04/2021 Sample Unique Key15
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 testing06/08/2021
Sample typeAcceptance 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 byKevin Last name of sampler or witnessed byoluoha
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameMatich-Cabazon 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 Asphalt Rubber Binder Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments