Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2021-10-06-29

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 DateNot set
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 Key29
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 sampleHi Natural Crumb Rubber
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 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 TypeHigh Natural
JMF Verification ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-10-06-29-1CTM 385-November 2016: Method of Test for Crumb Rubber Modifier (CRM)Danilo FerrerCT - Southern Regional Laboratory10/19/2021Michael Magana
Yes
10/21/2021% Fabric is 0.01
2021-10-06-29-2CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine AggregatesDanilo FerrerCT - Southern Regional Laboratory10/19/2021Michael Magana
Yes
10/21/2021