Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2022-08-02-55
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Project Information
| Project Identifiers | Project ID: 214524 DEA: 07304504 EFIS: 0714000067 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-57-R0.0/R4.5 |
| Award Date | 06/11/2020 |
| Closeout Date | 04/03/2025 |
| Work Description | CONCRETE PAVEMENT, CONCRETE BARRIER, AND ELECTRICAL WORK. |
| Location Description | LOS ANGELES COUNTY IN DIAMOND BAR AND CITY OF INDUSTRY FROM ORANGE COUNTY LINE TO ROUTE 57/60 SEPARATION |
| QA Service Level | 1 (Verified on 08/12/2020) |
Sample Information
| Sample Taken Date | 08/02/2022 | 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 | 08/11/2022 |
| Sample type | Verification | A brief description of the sample | PSUE3/4" RHMA-G-SP 0.5% LAS |
| The quantity of what the sample constitutes | 1 Bag Crum Rubber | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Victor | Last name of sampler or witnessed by | Pham |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0539G-22 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Vulcan Materials-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 | 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 |
|---|---|---|---|---|---|---|---|---|---|
| 2022-08-02-55-1 | CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine Aggregates | Amir Behjati, CT D08 - Fontana Southern Regional Laboratory | 08/11/2022 | 08/18/2022 | No | ||||
| 2022-08-02-55-3 | CTM 385-November 2016: Method of Test for Crumb Rubber Modifier (CRM) | Amir Behjati, CT D08 - Fontana Southern Regional Laboratory | 08/11/2022 | 08/18/2022 | No | %age of Fabric is out of spec. |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-08-02-55-1 CTM 208-September 2011
DIME Test ID: 2022-08-02-55-3 CTM 385-November 2016