Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2023-04-01-3

Project Information

Project IdentifiersProject ID: 215456
DEA: 07293604
EFIS: 0713000238
DIST-CO-RTE-PM07-LA-405-14.3/15.8
Award Date05/26/2021
Closeout Date07/03/2025
Work DescriptionCONSTRUCT AUXILIARY LANE AND WIDEN ON AND OFF RAMPS.
Location DescriptionLOS ANGELES COUNTY IN TORRANCE BETWEEN WESTERN AVENUE UNDERCROSSING AND WEST 182ND STREET
QA Service Level1 (Verified on 07/07/2021)

Sample Information

Sample Taken Date04/01/2023 Sample Unique Key3
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 testing04/05/2023
Sample typeVerification A brief description of the sampleHi-Natural
The quantity of what the sample constitutes 1 Bag of Hi-Natural From where was the sample collectedManufacturer
First name of sampler or witnessed byVictor Last name of sampler or witnessed byPham
Title of sampler Telephone number of sampler
Laboratory sample identification0191G-23 Linked DIME Sample ID
The fabricator/manufacturer/facility nameAll American Asphalt-Irwindale Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeCrumb Rubber Modifier CRM TypeHigh Natural
Crumb Rubber Modifier Mix Number106835

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
2023-04-01-3-1CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine AggregatesZaid Khaliq, CT D08 - Fontana Southern Regional Laboratory04/10/202306/09/2023
Yes
07/25/2023Public - Test Data Visible
2023-04-01-3-2CTM 385-November 2016: Method of Test for Crumb Rubber Modifier (CRM)Zaid Khaliq, CT D08 - Fontana Southern Regional Laboratory04/10/202306/09/2023
Yes
07/25/2023Public - Test Data Visible

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-04-01-3-1 CTM 208-September 2011 (Verified)
DIME Test ID: 2023-04-01-3-2 CTM 385-November 2016 (Verified)