Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2023-09-05-42
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994599 DEA: 081N1604 EFIS: 0822000106 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-40-R20.0/R28.1 |
| Award Date | 05/24/2023 |
| Closeout Date | 08/30/2024 |
| Work Description | RHMA, HIGH DENSITY POLYURETHANE INJECTION, AND COLD PLANE AC PVMT. |
| Location Description | SAN BERNARDINO COUNTY NEAR BARSTOW FROM 0.3 MILE WEST OF NEWBERRY ROAD OVERCROSSING TO DESERT OASIS REST AREA |
| QA Service Level | 1 (Verified on 08/14/2023) |
Sample Information
| Sample Taken Date | 09/05/2023 | Sample Unique Key | 42 |
|---|---|---|---|
| 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 | 09/11/2023 |
| Sample type | Verification | A brief description of the sample | Scrap Crumb Rubber |
| The quantity of what the sample constitutes | 1 Bag Of Scrap Tire | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Alex | Last name of sampler or witnessed by | QC |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0467G-23 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Blue Diamond Victorville | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Crumb Rubber Modifier | CRM Type | Scrap Tire |
|---|---|---|---|
| Crumb Rubber Modifier Mix Number | 300072 LSM |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| 2023-09-05-42-1 | CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine Aggregates | Amir Behjati, CT D08 - Fontana Southern Regional Laboratory | 09/12/2023 | Satish Jain | No | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-09-05-42-1 CTM 208-September 2011