Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2023-05-23-54
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Project Information
| Project Identifiers | Project ID: 993508 DEA: 070W1104 EFIS: 0721000059 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-210-R35.9/R52.2 |
| Award Date | 04/04/2022 |
| Closeout Date | 09/24/2024 |
| Work Description | COLD PLANE OVERLAY, INDIVIDUAL REPLACEMENT SLAB AND TRAFFIC STRIPING. |
| Location Description | LOS ANGELES COUNTY FROM HIGHLAND AVENUE UNDERCROSSING IN DUARTE TO SAN ANTONIO WASH BRIDGE IN CLAREMONT. |
| QA Service Level | 1 (Verified on 04/19/2022) |
Sample Information
| Sample Taken Date | 05/23/2023 | 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 | 06/02/2023 |
| Sample type | Verification | A brief description of the sample | Hi-Natural |
| The quantity of what the sample constitutes | 1 Bag Of Hi- Nat | 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 | 0289G-23 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | All American Asphalt-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 | 106835 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| 2023-05-23-54-1 | CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine Aggregates | Zaid.A, CT D08 - Fontana Southern Regional Laboratory | 06/05/2023 | 07/21/2023 | No | ||||
| 2023-05-23-54-2 | CTM 385-November 2016: Method of Test for Crumb Rubber Modifier (CRM) | Zaid.A, CT D08 - Fontana Southern Regional Laboratory | 06/05/2023 | 07/21/2023 | No |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-05-23-54-1 CTM 208-September 2011
DIME Test ID: 2023-05-23-54-2 CTM 385-November 2016