Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2025-06-18-68
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Project Information
| Project Identifiers | Project ID: 994966 DEA: 073255U4 EFIS: 0722000129 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-605-20.2/26 |
| Award Date | 04/12/2023 |
| Closeout Date | Not set |
| Work Description | INDIVIDUAL SLAB REPLACEMENT, COLD PLANE AC |
| Location Description | LOS ANGELES COUNTY IN BALDWIN PARK AND IRWINDALE FROM ROUTE 10/605 SEPARATION TO 0.2 MILE NORTH OF ROUTE 210/605 SEPARATION |
| QA Service Level | 1 (Verified on 07/13/2023) |
Sample Information
| Sample Taken Date | 06/18/2025 | Sample Unique Key | 68 |
|---|---|---|---|
| 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 | 06/25/2025 |
| Sample type | Verification | A brief description of the sample | Scrap |
| The quantity of what the sample constitutes | 1 Bag of Scrap Rubber Tire | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Gerardo | Last name of sampler or witnessed by | Zubieta |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0391G-25 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | All American Asphalt | 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 | 106835 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| 2025-06-18-68-1 | CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine Aggregates | David Tran, CT D08 - Fontana Southern Regional Laboratory | 06/27/2025 | 07/30/2025 | No | ||||
| 2025-06-18-68-2 | CTM 385-July 2022: Method of Test for Crumb Rubber Modifier (CRM) | David Tran, CT D08 - Fontana Southern Regional Laboratory | 06/27/2025 | 07/30/2025 | No | The % Fabric & Wire is out of spec |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2025-06-18-68-1 CTM 208-September 2011
DIME Test ID: 2025-06-18-68-2 CTM 385-July 2022