Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2023-05-31-65
Project Information
Project Identifiers | Project ID: 993159 DEA: 08323034 EFIS: 0812000059 COOP: 081703 |
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DIST-CO-RTE-PM | 08-RIV-60-18.8/19.6 |
Award Date | 05/04/2021 |
Closeout Date | Not set |
Work Description | Project Phase 2 (project) proposes to replace the existing hook ramp configuration along westbound (WB) SR-60 at the SR- 60/Moreno Beach Drive interchange with a partial cloverleaf configuration |
Location Description | SR-60 & Moreno Beach Interchange |
QA Service Level | 2 (Verified on 07/27/2021) |
Sample Information
Sample Taken Date | 05/31/2023 | Sample Unique Key | 65 |
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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 | 06/16/2023 |
Sample type | Verification | A brief description of the sample | Hi-Natural |
The quantity of what the sample constitutes | 1 Bag of Hi-Natural | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Victor | Last name of sampler or witnessed by | QC |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 0322G-23 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | All American Asphalt- Perris | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Crumb Rubber Modifier | CRM Type | High Natural |
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Crumb Rubber Modifier Mix Number | 106835 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2023-05-31-65-1 CTM 208-September 2011 (Verified)
DIME Test ID: 2023-05-31-65-2 CTM 385-November 2016 (Verified)