Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2021-09-21-20

Project Information

Project IdentifiersProject ID: 214665
DEA: 081G5504
EFIS: 0816000035
DIST-CO-RTE-PM08-SBD-40-R28.9
Award Date03/09/2021
Closeout Date01/18/2022
Work DescriptionREPLACE WEIGH-IN-MOTION SYSTEM WITH HIGH SPEED WEIGH-IN-MOTION SYSTEM.
Location DescriptionSAN BERNARDINO COUNTY NEAR NEWBERRY SPRINGS AT 3.6 MILES WEST OF HECTOR ROAD UNDERCROSSING
QA Service Level1 (Verified on 06/23/2021)

Sample Information

Sample Taken Date09/21/2021 Sample Unique Key20
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 testing09/23/2021
Sample typeVerification A brief description of the sampleCrumb Rubber Hi-Nat
The quantity of what the sample constitutes1 Bag Hi-Nat From where was the sample collectedManufacturer
First name of sampler or witnessed byJonh Blue Last name of sampler or witnessed byQC
Title of sampler Telephone number of sampler
Laboratory sample identification0544G-21 Linked DIME Sample ID2021-09-21-18
The fabricator/manufacturer/facility nameBlue Diamond Victorville 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
2021-09-21-20-1CTM 385-November 2016: Method of Test for Crumb Rubber Modifier (CRM)Parkash Patel, CT D08 - Fontana Southern Regional Laboratory09/28/2021Satish Jain
No
Actual % Fabric is 0.16% which is Out Of Spec Info
2021-09-21-20-2CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine AggregatesParkash Patel, CT D08 - Fontana Southern Regional Laboratory09/28/2021Satish Jain
No
Info

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2021-09-21-20-1 CTM 385-November 2016
DIME Test ID: 2021-09-21-20-2 CTM 208-September 2011