Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-10-15-41
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Project Information
| Project Identifiers | Project ID: 994968 DEA: 120M82C4 EFIS: 1219000036 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-1-7.9/10.5 |
| Award Date | 12/13/2022 |
| Closeout Date | 12/01/2025 |
| Work Description | Place RHMA-G and minor concrete and modify electrical system. |
| Location Description | In Orange County In Laguna Beach, On State Route 1 (Also Known As Pacific Coast Highway Or Sr-1) From Ruby Street (Pm 7.9) To Ledroit |
| QA Service Level | 1 (Verified on 07/13/2023) |
Sample Information
| Sample Taken Date | 10/15/2024 | Sample Unique Key | 41 |
|---|---|---|---|
| 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 | 10/21/2024 |
| Sample type | Verification | A brief description of the sample | Crum |
| The quantity of what the sample constitutes | 1 Bag of Crum Rubber | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Blue Diamond | Last name of sampler or witnessed by | QC |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0566G-24 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Blue Diamond Material-Irwindale | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Crumb Rubber Modifier | CRM Type | Scrap Tire |
|---|---|---|---|
| Crumb Rubber Modifier Mix Number | 300072 IRW |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| 2024-10-15-41-1 | CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine Aggregates | Ali Rehman, CT D08 - Fontana Southern Regional Laboratory | 10/28/2024 | 11/06/2024 | No | ||||
| 2024-10-15-41-2 | CTM 385-July 2022: Method of Test for Crumb Rubber Modifier (CRM) | ALI REHMAN, CT D08 - Fontana Southern Regional Laboratory | 10/28/2024 | 11/06/2024 | No |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-10-15-41-1 CTM 208-September 2011
DIME Test ID: 2024-10-15-41-2 CTM 385-July 2022