Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2021-10-14-42

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215083
DEA: 07307504
EFIS: 0714000217
DIST-CO-RTE-PM07-LA-101-11.8/31.1
Award Date09/21/2020
Closeout Date08/25/2022
Work DescriptionPLACE RHMA-G, MODIFY RAMP METERING AND SIGNAL AND LIGHTING SYSTEMS.
Location DescriptionLOS ANGELES COUNTY FROM TUJUNGA AVENUE UNDERCROSSING TO LAS VIRGENES ROAD OVERCROSSING
QA Service Level1 (Verified on 11/18/2020)

Sample Information

Sample Taken Date10/14/2021 Sample Unique Key42
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 testing10/18/2021
Sample typeVerification A brief description of the sampleCrumb Rubber Scrap
The quantity of what the sample constitutes1 Bag of Scrap Crumb Rubber From where was the sample collectedManufacturer
First name of sampler or witnessed byVictor Last name of sampler or witnessed byPham
Title of sampler Telephone number of sampler
Laboratory sample identification0591G-21 Linked DIME Sample ID2021-10-14-41
The fabricator/manufacturer/facility nameVulcan Sun Valley 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
2021-10-14-42-1CTM 385-November 2016: Method of Test for Crumb Rubber Modifier (CRM)Danilo Ferrer, CT D08 - Fontana Southern Regional Laboratory10/20/2021Michael Magana
Yes
10/25/2021%Fabric is 0.16 and is out of the specified range
2021-10-14-42-2CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine AggregatesDanilo Ferrer, CT D08 - Fontana Southern Regional Laboratory10/20/2021Michael Magana
Yes
10/25/2021

Sample File Attachments

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Test File Attachments


DIME Test ID: 2021-10-14-42-1 CTM 385-November 2016 (Verified)
DIME Test ID: 2021-10-14-42-2 CTM 208-September 2011 (Verified)