Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-05-21-46
Project Information
Project Identifiers | Project ID: 214708 DEA: 07323904 EFIS: 0716000072 |
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DIST-CO-RTE-PM | 07-VEN-1-21.3/28.4 |
Award Date | 03/27/2023 |
Closeout Date | Not set |
Work Description | COLD PLANE AC, PLACE RUBBERIZED HOT MIX AS |
Location Description | VENTURA COUNTY NEAR VENTURA FROM ROUTE 1/101 SEPARATION TO MOBIL PIER ROAD. |
QA Service Level | 1 (Verified on 07/12/2021) |
Sample Information
Sample Taken Date | 05/21/2024 | Sample Unique Key | 46 |
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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 | 05/22/2024 |
Sample type | Verification | A brief description of the sample | Hi-Nat |
The quantity of what the sample constitutes | 1 Qt. of Hi-Nat | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Esteban | Last name of sampler or witnessed by | Salgado |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 0258G-24 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Vulcan Materials- saticoy | 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 |
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Crumb Rubber Modifier Mix Number | 326122 SAT VLO |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
---|---|---|---|---|---|---|---|---|
2024-05-21-46-1 | CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine Aggregates | Ali Rehman, CT D08 - Fontana Southern Regional Laboratory | 05/28/2024 | Satish Jain | No | Info | ||
2024-05-21-46-2 | CTM 385-July 2022: Method of Test for Crumb Rubber Modifier (CRM) | Ali Rehman, CT D08 - Fontana Southern Regional Laboratory | 05/28/2024 | Satish Jain | No | Info |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2024-05-21-46-1 CTM 208-September 2011
DIME Test ID: 2024-05-21-46-2 CTM 385-July 2022