Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-10-15-42
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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 | 01/02/2023 |
| Closeout Date | Not set |
| 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 | 42 |
|---|---|---|---|
| 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 | Hi-Nat |
| 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 | 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 |
Material Information
| Material Type | Crumb Rubber Modifier | CRM Type | High Natural |
|---|---|---|---|
| Crumb Rubber Modifier Mix Number | 300072 IRW |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| 2024-10-15-42-1 | 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 | Satish Jain | No | Info | ||
| 2024-10-15-42-2 | CTM 385-July 2022: Method of Test for Crumb Rubber Modifier (CRM) | Ali Rehman/M.L, CT D08 - Fontana Southern Regional Laboratory | 10/28/2024 | Satish Jain | No | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-10-15-42-1 CTM 208-September 2011
DIME Test ID: 2024-10-15-42-2 CTM 385-July 2022