Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2021-07-23-25

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215609
DEA: 074W9404
EFIS: 0720000196
DIST-CO-RTE-PM07-LA-101-0.0/1.0
Award Date05/06/2021
Closeout Date07/14/2022
Work DescriptionCOLD PLANE AND OVERLAY WITH RUBBERIZED HOT MIX ASPHALT, SLURRY SEAL.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES FROM ROUTE 10/101 SEPARATION TO SPRING STREET OVERCROSSING
QA Service Level1 (Verified on 08/17/2021)

Sample Information

Sample Taken Date07/23/2021 Sample Unique Key25
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 testing07/27/2021
Sample typeVerification A brief description of the sampleCrumb Rubber Scrap
The quantity of what the sample constitutes1 Bag of Scrap Crumb Rubber From where was the sample collectedManufacturer
First name of sampler or witnessed byBlue Diamond Irwindale Last name of sampler or witnessed byQC
Title of sampler Telephone number of sampler
Laboratory sample identification0431G-21 Linked DIME Sample ID2021-07-23-5
The fabricator/manufacturer/facility nameBlue Diamond Material-Irwindale 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
2021-07-23-25-1CTM 385-November 2016: Method of Test for Crumb Rubber Modifier (CRM)Danilo FerrerCT D08 - Fontana Southern Regional Laboratory08/23/2021Satish Jain
Yes
08/25/2021
2021-07-23-25-2CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine AggregatesDanilo FerrerCT D08 - Fontana Southern Regional Laboratory07/28/2021Satish Jain
Yes
08/25/2021

Sample File Attachments

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Test File Attachments


DIME Test ID: 2021-07-23-25-1 CTM 385-November 2016 (Verified)
DIME Test ID: 2021-07-23-25-2 CTM 208-September 2011 (Verified)