Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2021-10-06-28

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215687
DEA: 074W6104
EFIS: 0719000104
DIST-CO-RTE-PM07-LA-18-0.0/4.5
Award Date05/26/2021
Closeout Date10/06/2022
Work DescriptionPLACE RUBBERIZED HMA (GAP GRADED).
Location DescriptionLOS ANGELES COUNTY NEAR LLANO FROM SAN BERNARDINO COUNTY LINE TO JUNCTION ROUTE 138
QA Service Level1 (Verified on 07/01/2021)

Sample Information

Sample Taken Date10/06/2021 Sample Unique Key28
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 testing10/11/2021
Sample typeVerification A brief description of the sampleScrap Crumb 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 byKevin Last name of sampler or witnessed byHopkins
Title of sampler Telephone number of sampler
Laboratory sample identification4878 Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite - Llano 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
2021-10-06-28-1CTM 385-November 2016: Method of Test for Crumb Rubber Modifier (CRM)Danilo Ferrer, CT D08 - Fontana Southern Regional Laboratory10/19/2021Michael Magana
Yes
10/21/2021Fabric % is 0.05
2021-10-06-28-2CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine AggregatesDanilo Ferrer, CT D08 - Fontana Southern Regional Laboratory10/19/2021Michael Magana
Yes
10/21/2021

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2021-10-06-28-1 CTM 385-November 2016 (Verified)
DIME Test ID: 2021-10-06-28-2 CTM 208-September 2011 (Verified)