Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2021-08-16-30

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215446
DEA: 120S4504
EFIS: 1220000070
DIST-CO-RTE-PM12-ORA-39-8.5/11.7
Award Date03/02/2021
Closeout DateNot set
Work DescriptionCOLD PLANE AC PVMT AND PLACE RHMA
Location DescriptionORANGE COUNTY IN WESTMINSTER AND STANTON FROM ROUTE 22/39 SEPARATION TO STARR STREET
QA Service Level1 (Verified on 02/22/2021)

Sample Information

Sample Taken Date08/16/2021 Sample Unique Key30
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 testing08/24/2021
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 byRJ Noble Orange Last name of sampler or witnessed byQC
Title of sampler Telephone number of sampler
Laboratory sample identification0495G-21 Linked DIME Sample ID2021-08-16-29
The fabricator/manufacturer/facility nameRJ Noble Orange 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
2021-08-16-30-1CTM 385-November 2016: Method of Test for Crumb Rubber Modifier (CRM)Danilo FerrerCT - Southern Regional Laboratory08/25/2021Satish Jain
Yes
09/03/2021 Actual % Fabric is 0.28 and is out of the specified range
2021-08-16-30-2CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine AggregatesDanilo FerrerCT - Southern Regional Laboratory08/25/2021Satish Jain
Yes
09/03/2021