Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2023-04-10-106

Project Information

Project IdentifiersProject ID: 214493
DEA: 07311704
EFIS: 0715000013
DIST-CO-RTE-PM07-LA-134-0.0/R13.3
Award Date04/16/2020
Closeout Date07/09/2024
Work DescriptionCONCRETE SLAB REPLACEMENT, HMA PAVING, ELECTRICAL AND LANDSCAPE WORK.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES, BURBANK, GLENDALE AND PASADENA FROM ROUTE 101/134 SEPARATION TO JUNCTION OF ROUTE 210/710
QA Service Level1 (Verified on 04/15/2020)

Sample Information

Sample Taken Date04/10/2023 Sample Unique Key106
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 testing04/13/2023
Sample typeVerification A brief description of the sampleHi-Natural
The quantity of what the sample constitutes1 Bag Of Hi-Nat From where was the sample collectedManufacturer
First name of sampler or witnessed byGerardo Last name of sampler or witnessed byZubieta
Title of sampler Telephone number of sampler
Laboratory sample identification0204G-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 Number106836

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
2023-04-10-106-1CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine AggregatesZaid Khaliq, CT D08 - Fontana Southern Regional Laboratory04/15/202306/27/2023
Yes
08/02/2023Public - Test Data Visible
2023-04-10-106-2CTM 385-November 2016: Method of Test for Crumb Rubber Modifier (CRM)Zaid.A, CT D08 - Fontana Southern Regional Laboratory04/15/202306/27/2023
Yes
08/02/2023Public - Test Data Visible

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-04-10-106-1 CTM 208-September 2011 (Verified)
DIME Test ID: 2023-04-10-106-2 CTM 385-November 2016 (Verified)