Sample Record

Owner Lab

  • CT HQ - Sacramento Materials Management Branch Field Office

DIME Sample ID 2021-01-05-13

Project Information

Project IdentifiersProject ID: 99999
DEA: 0322222
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 TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location DescriptionTHIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
QA Service Level (Verified on 04/05/2013)

Sample Information

Sample Taken Date01/05/2021 Sample Unique Key13
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 testing01/05/2021
Sample typeQuality Control A brief description of the sampleTEST
The quantity of what the sample constitutesTEST From where was the sample collectedFabricator
First name of sampler or witnessed bytester Last name of sampler or witnessed bytester
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nametester 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
HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-01-05-13-2CTM 385-November 2016: Method of Test for Crumb Rubber Modifier (CRM)Sindhura PotineniCT HQ - Sacramento Materials Management Branch Field Office01/21/2021Sindhura Potineni
No
TEST1 Info
2021-01-05-13-3CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine AggregatesBob ScottCT HQ - Sacramento Materials Management Branch Field Office01/23/2021Bob Scott
No
Test 1,2,3 Info