Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-07-17-36
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Project Information
| Project Identifiers | Project ID: 994582 DEA: 073203U4 EFIS: 0722000071 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-91,605-R16.6/R16.8,R0.0/R10.4 |
| Award Date | 06/20/2023 |
| Closeout Date | Not set |
| Work Description | PLACE CONCRETE PAVEMENT AND HIGH FRICTION SURFACE TREATMENT. |
| Location Description | LOS ANGELES COUNTY ON ROUTE 605 FROM 0.2 MILE NORTH OF KATELLA AVENUE UNDECROSSING TO 0.1 MILE NORTH OF TELEGRAPH ROAD UNDERCROSSING AND ON ROUTE 91 FROM 0.4 MILE WEST OF ROUTE 605 UNDERCROSSING TO 0.2 MILE WEST OF ROUTE 605 UNDERCROSSING |
| QA Service Level | 1 (Verified on 07/12/2023) |
Sample Information
| Sample Taken Date | 07/17/2024 | Sample Unique Key | 36 |
|---|---|---|---|
| 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 | 07/19/2024 |
| Sample type | Verification | A brief description of the sample | Hi-Nat |
| The quantity of what the sample constitutes | 1 Bag of Scrap, 1 Bag of Hi-Natural | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Josh | Last name of sampler or witnessed by | Delafuente |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Vulcan Materials- Irwindale | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Crumb Rubber Modifier | CRM Type | High Natural |
|---|---|---|---|
| Crumb Rubber Modifier Mix Number | 226108M IRW VLO |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| 2024-07-17-36-1 | CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine Aggregates | Ali Rehman/M.L, CT D08 - Fontana Southern Regional Laboratory | 07/23/2024 | 08/01/2024 | No | ||||
| 2024-07-17-36-2 | CTM 385-July 2022: Method of Test for Crumb Rubber Modifier (CRM) | Ali Rehman, CT D08 - Fontana Southern Regional Laboratory | 07/23/2024 | 08/01/2024 | No |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-07-17-36-1 CTM 208-September 2011
DIME Test ID: 2024-07-17-36-2 CTM 385-July 2022