Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-03-11-16
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 1000106 DEA: 07316204 EFIS: 0715000198 Permit Numbers: 0722AOP1994 |
|---|---|
| DIST-CO-RTE-PM | 07--- |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Not set |
| Location Description | Not set |
| QA Service Level | 2 (Verified on 02/14/2024) |
Sample Information
| Sample Taken Date | 03/11/2024 | Sample Unique Key | 16 |
|---|---|---|---|
| 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 | 03/14/2024 |
| Sample type | Verification | A brief description of the sample | Hi-Natural |
| The quantity of what the sample constitutes | 1 Bag of Hi-Natural | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Kevin | Last name of sampler or witnessed by | Hopkins |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0136G-24 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Granite Construction - Big Rock | 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 | High Natural |
|---|---|---|---|
| Crumb Rubber Modifier Mix Number | 1556 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| 2024-03-11-16-1 | CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine Aggregates | Amir Behjati, CT D08 - Fontana Southern Regional Laboratory | 03/23/2024 | Satish Jain | No | Info | ||
| 2024-03-11-16-2 | CTM 385-July 2022: Method of Test for Crumb Rubber Modifier (CRM) | Amir Behjati, CT D08 - Fontana Southern Regional Laboratory | 03/23/2024 | Satish Jain | No | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-03-11-16-1 CTM 208-September 2011
DIME Test ID: 2024-03-11-16-2 CTM 385-July 2022