Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2021-11-13-7

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 7613
DEA: 071218W4
EFIS: 0700021119
DIST-CO-RTE-PM07-LA-5-29.4/31.6
Award Date11/29/2012
Closeout Date07/31/2023
Work DescriptionREALIGN ROUTE 5 AND RAILROAD TRACKS AND RECONFIGURE ON- AND OFF-RAMPS.
Location DescriptionLOS ANGELES COUNTY IN BURBANK FROM WEST MAGNOLIA BOULEVARD OVERCROSSING TO 0.3 MILE NORTH OF BUENA VISTA STREET/WINONA AVENUE UNDERCROSSING
QA Service Level1 (Verified on 10/08/2012)

Sample Information

Sample Taken Date11/13/2021 Sample Unique Key7
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 testing11/16/2021
Sample typeVerification A brief description of the samplePSUE 1/2" RHMA-G-SP 0.5% LAS
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 byCaesar Last name of sampler or witnessed byGomez
Title of sampler Telephone number of sampler
Laboratory sample identification0637G-21 Linked DIME Sample ID2021-11-13-5
The fabricator/manufacturer/facility nameVulcan Materials 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 TypeHigh Natural
Crumb Rubber Modifier Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-11-13-7-1CTM 385-November 2016: Method of Test for Crumb Rubber Modifier (CRM)Amir Behjati, CT D08 - Fontana Southern Regional Laboratory11/17/2021Michael Magana
Yes
11/23/2021%Fabric is .01%
2021-11-13-7-2CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine AggregatesAmir Behjati, CT D08 - Fontana Southern Regional Laboratory11/19/2021Michael Magana
Yes
11/23/2021

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2021-11-13-7-1 CTM 385-November 2016 (Verified)
DIME Test ID: 2021-11-13-7-2 CTM 208-September 2011 (Verified)