Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2021-08-02-27

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 210227
DEA: 07286204
EFIS: 0713000217
DIST-CO-RTE-PM07-LA-138-56.20/55.20
Award Date03/14/2019
Closeout DateNot set
Work DescriptionWIDEN ROUTE 138 TO 4 LANES WITH A MEDIAN TURN LANE AND STANDARD WIDTH SHOULDERS.; DRAINAGE IMPROVEMENTS.
Location DescriptionIN LOS ANGELES COUNTY IN PALMDALE FROM 87TH STREET EAST TO 96TH STREET EAST
QA Service Level1 (Verified on 06/27/2019)

Sample Information

Sample Taken Date08/02/2021 Sample Unique Key27
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 testing08/17/2021
Sample typeVerification A brief description of the sampleCrumb Rubber
The quantity of what the sample constitutes1 Bag of Scrap, 1 Bag of Hi-Natural From where was the sample collectedManufacturer
First name of sampler or witnessed byWilliam Last name of sampler or witnessed byLucas
Title of sampler Telephone number of sampler
Laboratory sample identification0474G-21 Linked DIME Sample ID2021-08-02-20
The fabricator/manufacturer/facility nameGranite Big Rock 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
JMF Verification ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-08-02-27-1CTM 385-November 2016: Method of Test for Crumb Rubber Modifier (CRM)Danilo FerrerCT - Southern Regional Laboratory08/19/2021Satish Jain
Yes
08/24/2021
2021-08-02-27-2CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine AggregatesDanilo FerrerCT - Southern Regional Laboratory08/23/2021Michael Magana
Yes
08/24/2021