DIME - Sample Record for DIME Sample ID 2023-06-05-63

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DIME » All Projects » Project - DEA: 081G7204 » Sample 2023-06-05-63 » Sample Details

Sample Record

DIME Sample ID 2023-06-05-63

Project Information

Project Identifiers	Project ID: 993547 DEA: 081G7204 EFIS: 0816000057 COOP: 081666 Permit Numbers: 0819AOP0691
DIST-CO-RTE-PM	08---
Award Date	12/30/2021
Closeout Date	Not set
Work Description	METS have reviewed the (Source Inspection Quality Management Plan) SIQMP, Rev1 submitted on behalf of The city of Lake Elsinore. We are glad to inform you that it significantly complies.
Location Description	Not set
QA Service Level	2 (Verified on 01/31/2022)

Owner Lab

CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date	06/05/2023	Sample Unique Key	63
Date that the sample was received by the laboratory/organization performing the testing	07/21/2023	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	Capacete	Title of sampler
Telephone number of sampler		Laboratory sample identification	0376G-23
Linked DIME Sample ID		The fabricator/manufacturer/facility name	All American Asphalt- Corona
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	106836

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Date Added	Verified?	Release Date	Test Comments	Privacy Level	Actions
2023-06-05-63-1	CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine Aggregates	Amir Behjati, CT D08 - Fontana Southern Regional Laboratory	07/22/2023	08/31/2023	Yes	10/04/2023		Public - Test Data Visible
2023-06-05-63-2	CTM 385-November 2016: Method of Test for Crumb Rubber Modifier (CRM)	Amir Behjati, CT D08 - Fontana Southern Regional Laboratory	07/22/2023	08/31/2023	Yes	10/04/2023		Public - Test Data Visible

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
No results found.

Test File Attachments

DIME Test ID: 2023-06-05-63-1 CTM 208-September 2011 (Verified)
DIME Test ID: 2023-06-05-63-2 CTM 385-November 2016 (Verified)