Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2025-03-24-54
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000612 DEA: 120R57U4 EFIS: 1223000131 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-405-11.4/24.2 |
| Award Date | 01/14/2025 |
| Closeout Date | Not set |
| Work Description | PLACE JPCP (RSC) AND RHMA, AND MODIFY ELECTRICAL SYSTEMS. |
| Location Description | ORANGE COUNTY FROM HARBOR BOULEVARD UNDERCROSSING IN COSTA MESA TO LOS ANGELES COUNTY LINE AT ROSSMOOR |
| QA Service Level | 1 (Verified on 09/30/2024) |
Sample Information
| Sample Taken Date | 03/24/2025 | Sample Unique Key | 54 |
|---|---|---|---|
| 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 | 03/27/2025 |
| Sample type | Verification | A brief description of the sample | 1 bag crumb rubber hi-natural |
| The quantity of what the sample constitutes | 1 bag Crumb Rubber hi-natural | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | John | Last name of sampler or witnessed by | Mejia |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0181G-25 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Ingevity, SJR, Fish Canyon 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 | High Natural |
|---|---|---|---|
| Crumb Rubber Modifier Mix Number | 226110A IRW SJR |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| 2025-03-24-54-1 | CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine Aggregates | David Tran, CT D08 - Fontana Southern Regional Laboratory | 04/01/2025 | 09/08/2025 | No | ||||
| 2025-03-24-54-2 | CTM 385-July 2022: Method of Test for Crumb Rubber Modifier (CRM) | David Tran, CT D08 - Fontana Southern Regional Laboratory | 04/01/2025 | 09/08/2025 | No |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2025-03-24-54-1 CTM 208-September 2011
DIME Test ID: 2025-03-24-54-2 CTM 385-July 2022