Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2023-09-11-25

Project Information

Project IdentifiersProject ID: 993742
DEA: 07321804
EFIS: 0716000052
DIST-CO-RTE-PM07-LA-405-7.0/12.9
Award Date07/06/2022
Closeout DateNot set
Work DescriptionPLACE MINOR CONCRETE AND HOT MIX ASPHALT.
Location DescriptionLOS ANGELES COUNTY IN AND NEAR LONG BEACH, CARSON AND LOS ANGELES AT VARIOUS LOCATIONS FROM 0.1 MILE NORTH OF ROUTE 710 TO ROUTE 110/405 SEPARATION
QA Service Level1 (Verified on 05/11/2022)

Sample Information

Sample Taken Date09/11/2023 Sample Unique Key25
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 testing09/12/2023
Sample typeVerification A brief description of the sample Crumb Rubber Scrap
The quantity of what the sample constitutes1 Bag of CRM Scrap From where was the sample collectedManufacturer
First name of sampler or witnessed byZubieta Last name of sampler or witnessed byTec
Title of sampler Telephone number of sampler
Laboratory sample identification0468G-23 Linked DIME Sample ID
The fabricator/manufacturer/facility nameAll American Asphalt- Corona Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeCrumb Rubber Modifier CRM TypeScrap Tire
Crumb Rubber Modifier Mix Number106835

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-09-11-25-1CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine AggregatesAmir Behjati, CT D08 - Fontana Southern Regional Laboratory10/21/2023Satish Jain
Yes
12/13/2023
2023-09-11-25-2CTM 385-July 2022: Method of Test for Crumb Rubber Modifier (CRM)Amir Behjati, CT D08 - Fontana Southern Regional Laboratory10/21/2023Satish Jain
Yes
12/13/2023

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2023-09-11-25-1 CTM 208-September 2011 (Verified)
DIME Test ID: 2023-09-11-25-2 CTM 385-July 2022 (Verified)