Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2021-08-16-31

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 Date03/01/2022
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 Key31
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 High Natural
The quantity of what the sample constitutes1 Bag of Hi-Natural 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 TypeHigh Natural
Crumb Rubber Modifier Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-08-16-31-1CTM 385-November 2016: Method of Test for Crumb Rubber Modifier (CRM)Danilo Ferrer, CT D08 - Fontana Southern Regional Laboratory08/25/2021Satish Jain
Yes
09/03/2021 Actual % Fabric is 0.05
2021-08-16-31-2CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine AggregatesDanilo Ferrer, CT D08 - Fontana Southern Regional Laboratory08/25/2021Satish Jain
Yes
09/03/2021

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2021-08-16-31-1 CTM 385-November 2016 (Verified)
DIME Test ID: 2021-08-16-31-2 CTM 208-September 2011 (Verified)