Sample Record

DIME Sample ID 2023-09-05-42

Project Information

Project IdentifiersProject ID: 994599
DEA: 081N1604
EFIS: 0822000106
DIST-CO-RTE-PM08-SBD-40-R20.0/R28.1
Award Date05/24/2023
Closeout Date08/30/2024
Work DescriptionRHMA, HIGH DENSITY POLYURETHANE INJECTION, AND COLD PLANE AC PVMT.
Location DescriptionSAN BERNARDINO COUNTY NEAR BARSTOW FROM 0.3 MILE WEST OF NEWBERRY ROAD OVERCROSSING TO DESERT OASIS REST AREA
QA Service Level1 (Verified on 08/14/2023)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date09/05/2023 Sample Unique Key42
Date that the sample was received by the laboratory/organization performing the testing09/11/2023 Sample typeVerification
A brief description of the sampleScrap Crumb Rubber The quantity of what the sample constitutes1 Bag Of Scrap Tire
From where was the sample collectedManufacturer First name of sampler or witnessed byAlex
Last name of sampler or witnessed byQC Title of sampler
Telephone number of sampler Laboratory sample identification0467G-23
Linked DIME Sample ID The fabricator/manufacturer/facility nameBlue Diamond Victorville
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 TypeScrap Tire
Crumb Rubber Modifier Mix Number300072 LSM

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
2023-09-05-42-1CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine AggregatesAmir Behjati, CT D08 - Fontana Southern Regional Laboratory09/12/202311/01/2023
No

Sample File Attachments

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Test File Attachments


DIME Test ID: 2023-09-05-42-1 CTM 208-September 2011