Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2022-02-17-55
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214573 DEA: 073096U4 EFIS: 0719000091 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-210-R0.0/R9.7 |
| Award Date | 04/03/2020 |
| Closeout Date | 06/06/2024 |
| Work Description | PLACE CONCRETE PAVEMENT, BARRIER, HMA, DRAINAGE, AND ELECTRICAL. |
| Location Description | LOS ANGELES COUNTY IN LOS ANGELES FROM INTERSTATE 5 TO WHEATLAND AVENUE UNDERCROSSING |
| QA Service Level | 1 (Verified on 06/05/2020) |
Sample Information
| Sample Taken Date | 02/17/2022 | Sample Unique Key | 55 |
|---|---|---|---|
| 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 | 04/25/2022 |
| Sample type | Verification | A brief description of the sample | Hi-Nat |
| The quantity of what the sample constitutes | 1Qt Hi-Nat | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Vulcan | Last name of sampler or witnessed by | QC |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0249G-22 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Vulcan Materials-Sun Valley # 3 | 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 | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| 2022-02-17-55-1 | CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine Aggregates | Amir Behjati, CT D08 - Fontana Southern Regional Laboratory | 05/14/2022 | 05/17/2022 | No | ||||
| 2022-02-17-55-2 | CTM 385-November 2016: Method of Test for Crumb Rubber Modifier (CRM) | Amir Behjati, CT D08 - Fontana Southern Regional Laboratory | 05/14/2022 | 05/17/2022 | No | Actual % of Fabric is 0.04 |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-02-17-55-1 CTM 208-September 2011
DIME Test ID: 2022-02-17-55-2 CTM 385-November 2016