Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2021-09-21-20
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214665 DEA: 081G5504 EFIS: 0816000035 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-40-R28.9 |
| Award Date | 03/09/2021 |
| Closeout Date | 01/18/2022 |
| Work Description | REPLACE WEIGH-IN-MOTION SYSTEM WITH HIGH SPEED WEIGH-IN-MOTION SYSTEM. |
| Location Description | SAN BERNARDINO COUNTY NEAR NEWBERRY SPRINGS AT 3.6 MILES WEST OF HECTOR ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 06/23/2021) |
Sample Information
| Sample Taken Date | 09/21/2021 | Sample Unique Key | 20 |
|---|---|---|---|
| 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 testing | 09/23/2021 |
| Sample type | Verification | A brief description of the sample | Crumb Rubber Hi-Nat |
| The quantity of what the sample constitutes | 1 Bag Hi-Nat | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Jonh Blue | Last name of sampler or witnessed by | QC |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0544G-21 | Linked DIME Sample ID | 2021-09-21-18 |
| The fabricator/manufacturer/facility name | Blue Diamond Victorville | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Crumb Rubber Modifier | CRM Type | High Natural |
|---|---|---|---|
| Crumb Rubber Modifier Mix Number | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| 2021-09-21-20-1 | CTM 385-November 2016: Method of Test for Crumb Rubber Modifier (CRM) | Parkash Patel, CT D08 - Fontana Southern Regional Laboratory | 09/28/2021 | Satish Jain | No | Actual % Fabric is 0.16% which is Out Of Spec | Info | |
| 2021-09-21-20-2 | CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine Aggregates | Parkash Patel, CT D08 - Fontana Southern Regional Laboratory | 09/28/2021 | Satish Jain | No | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| 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