Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2023-09-22-82
Project Information
Project Identifiers | Project ID: 215109 DEA: 081C8504 EFIS: 0813000047 |
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DIST-CO-RTE-PM | 08-RIV-74-0.0/5.8 |
Award Date | Not set |
Closeout Date | Not set |
Work Description | ROADWAY EXCAVATION, HOT MIX ASPHALT, AND STRUCTURAL SHOTCRETE WALLS. |
Location Description | RIVERSIDE COUNTY NEAR LAKE ELSINORE FROM ORANGE COUNTY LINE TO MONTE VISTA STREET |
QA Service Level | 1 (Verified on 02/24/2021) |
Sample Information
Sample Taken Date | 09/22/2023 | Sample Unique Key | 82 |
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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 | 09/25/2023 |
Sample type | Verification | A brief description of the sample | Asphalt Rubber Binder, PG 64-16 CR |
The quantity of what the sample constitutes | 1 Can | From where was the sample collected | Source |
First name of sampler or witnessed by | Nathan | Last name of sampler or witnessed by | Nathan O QC |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | MM-Lake Elsinore | 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 | Asphalt Rubber Binder Mix Number |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |