Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-10-03-59
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Project Information
| Project Identifiers | Project ID: 994586 DEA: 081C08U4 EFIS: 0822000142 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-10-R134.0/R156.5 |
| Award Date | 06/22/2023 |
| Closeout Date | Not set |
| Work Description | PLACE HMA (TYPE A), JPCP, IMPORTED BORROW, ROADWAY EXCAVATION & CL2 AB |
| Location Description | RIVERSIDE COUNTY FROM 1.1 MILES WEST OF WILEY WELL ROAD OVERCROSSING TO CALIFORNIA/ARIZONA STATE LINE |
| QA Service Level | 1 (Verified on 08/02/2023) |
Sample Information
| Sample Taken Date | 10/03/2024 | Sample Unique Key | 59 |
|---|---|---|---|
| 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 | 10/09/2024 |
| Sample type | Verification | A brief description of the sample | Scrap |
| The quantity of what the sample constitutes | 1 Gal Can of Scrap Tire | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Eriberto | Last name of sampler or witnessed by | Aragon |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0525G-24 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Fisher Sand & Gravel Co. | 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 | Scrap Tire |
|---|---|---|---|
| Crumb Rubber Modifier Mix Number | 529AKR |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| 2024-10-03-59-1 | CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine Aggregates | Ali Rehman, CT D08 - Fontana Southern Regional Laboratory | 10/15/2024 | Satish Jain | No | Info | ||
| 2024-10-03-59-2 | CTM 385-July 2022: Method of Test for Crumb Rubber Modifier (CRM) | Ali Rehman, CT D08 - Fontana Southern Regional Laboratory | 10/15/2024 | Satish Jain | No | % Fabric is out of spec. | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-10-03-59-1 CTM 208-September 2011
DIME Test ID: 2024-10-03-59-2 CTM 385-July 2022