Sample Record

Owner Lab

  • CT HQ - Sacramento Hot Mix Asphalt Laboratory

DIME Sample ID 2019-04-01-44

Project Information

Project IdentifiersProject ID: 9999
DEA: 00000000
EFIS: 0000000000
COOP: 99999333399
MINOR: 333333
Permit Numbers: 555555 0400NRT0000
DIST-CO-RTE-PM03-SAC,OMG-888,99,80-0.6-0.6
Award DateNot set
Closeout DateNot set
Work DescriptionTHIS PROJECT RECORD WAS ADDED FOR DIME DEVELOPERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location DescriptionTHIS PROJECT RECORD WAS ADDED FOR DIME DEVELOPERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
QA Service Level1 (Verified on 04/05/2013)

Sample Information

Sample Taken Date04/01/2019 Sample Unique Key44
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing04/01/2019
Sample typeVerification A brief description of the sampleCrumb Rubber Scrap
The quantity of what the sample constitutesJMF Verification From where was the sample collectedDistributor
First name of sampler or witnessed byBarrett Last name of sampler or witnessed byFelder
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCRM 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 NumberNot set

JMF Information

Verification IDJMF3513-2019-86 Date Created12/02/2019
JMF Submittal IDJMF3511-208-2019-127 JMF StatusSubmittal Accepted for Verification
Producer Mix IDGRF-17-G#-01-TEST-RHMA-G Authorized DateN/A

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-04-01-44-1CTM 385-November 2016: Method of Test for Sampling and Testing Crumb Rubber Modifier (CRM)Clinton Edmiston, CT HQ - Sacramento Hot Mix Asphalt Laboratory04/01/2019Clinton Edmiston
Yes
12/02/2019
2019-04-01-44-2CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine AggregatesClinton Edmiston, CT HQ - Sacramento Hot Mix Asphalt Laboratory04/01/2019Clinton Edmiston
Yes
12/02/2019

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2019-04-01-44-1 CTM 385-November 2016 (Verified)
DIME Test ID: 2019-04-01-44-2 CTM 208-September 2011 (Verified)