Sample Record
Owner Lab
- CT - Southern Regional Laboratory
DIME Sample ID 2022-01-06-47
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 214620 DEA: 07309304 EFIS: 0714000281 |
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DIST-CO-RTE-PM | 07-LA-210,405,605-Various |
Award Date | 03/18/2020 |
Closeout Date | Not set |
Work Description | REINFORCE STRUCTURAL CONCRETE BRIDGE AND PLACE RHMA SHOULDER PAVING. |
Location Description | LOS ANGELES COUNTY AT VARIOUS LOCATIONS |
QA Service Level | 1 (Verified on 04/15/2020) |
Sample Information
Sample Taken Date | 01/06/2022 | Sample Unique Key | 47 |
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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 | 01/18/2022 |
Sample type | Per Request | 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 | AAA Irwindale QC | Last name of sampler or witnessed by | AAA Irwindale QC |
Title of sampler | QC | Telephone number of sampler | |
Laboratory sample identification | 0102-22 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | AAA-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 | |
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Performance Grade | PG 64-16 | Lot number | |
Sublot number | HMA Design ID |