Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2021-09-22-31

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215556
DEA: 081L6504
EFIS: 0820000131
DIST-CO-RTE-PM08--,58-
Award Date06/18/2021
Closeout Date04/08/2022
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 04/08/2022)

Sample Information

Sample Taken Date09/22/2021 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 testing09/24/2021
Sample typeVerification A brief description of the sample1Bag of Scrap Crum Rubber
The quantity of what the sample constitutes1 Bag of Scrap Crumb Rubber From where was the sample collectedManufacturer
First name of sampler or witnessed byAlex Last name of sampler or witnessed byQC
Title of sampler Telephone number of sampler
Laboratory sample identification0547G-21 Linked DIME Sample ID2021-09-22-30
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 TypeScrap Tire
Crumb Rubber Modifier Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-09-22-31-1CTM 385-November 2016: Method of Test for Crumb Rubber Modifier (CRM)Amir Behjati, CT D08 - Fontana Southern Regional Laboratory09/28/2021Satish Jain
Yes
10/01/2021% Fabric Is Out Of Spec. It Should be 0.05% Max
2021-09-22-31-2CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine AggregatesAmir Behjati, CT D08 - Fontana Southern Regional Laboratory09/28/2021Satish Jain
Yes
10/01/2021

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2021-09-22-31-1 CTM 385-November 2016 (Verified)
DIME Test ID: 2021-09-22-31-2 CTM 208-September 2011 (Verified)