Sample Record for 2021-06-03-42
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215559 DEA: 112N0574 EFIS: 1119000079
QA Service Level: 1
Work Description: COLD PLANE AND PAVE WITH STRESS ABSORBING MEMBRANE INTERLAYER AND HMA.
Location Description: IMPERIAL COUNTY IN EL CENTRO FROM 0.1 MILE EAST OF NORTH IMPERIAL AVENUE TO TRESHILL ROAD.
Contractor Name: CALMEX ENGINEERING, INC.
Contractor Address: 2764 S Vista Ave, Bloomington, CA 92316
Resident Engineer: Benjamin Haney Structure Rep.: Unknown
DIME Sample ID: 2021-06-03-42
TL Number from the TL Form:
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Verification
Type of Material: Crumb Rubber Modifier
Sample Taken Date: 06/03/2021
Date that the sample was received by the laboratory/organization performing the testing: 09/07/2021
The quantity of what the sample constitutes: 1 Can of Scrap Crumb Rubber
A brief description of the sample: Crumb Rubber Scrap
From where was the sample collected: Manufacturer
Laboratory sample identification: 4626
Structure unique identifier:
The fabricator/manufacturer/facility name: Not Provided
Tests Assigned to this Sample
|DIME Test ID||Test Method||Assigned Date||Test Date||Assigned By||Assigned Lab||Test Comments||Assigned To|
|2021-06-03-42-1||CTM 385-November 2016: Method of Test for Crumb Rubber Modifier (CRM)||09/08/2021||Not scheduled||Michael Magana||CT - Southern Regional Laboratory|
|2021-06-03-42-2||CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine Aggregates||09/08/2021||Not scheduled||Michael Magana||CT - Southern Regional Laboratory|