Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2022-02-05-23

Project Information

Project IdentifiersProject ID: 993562
DEA: 070Q7404
EFIS: 0720000271
DIST-CO-RTE-PM07-LA--71-22/23
Award DateNot set
Closeout DateNot set
Work DescriptionIN LA COUNTY AT 710 & WASHINGTON BLVD. ON RAMPS AND OFF RAMPS RAMP WORK 0.2' COLD PLANE & 0.2' RHMA-G OVERLAY – CATEGORY OF 201.121 MINOR PAVEMENT REHAB (CAPM)
Location DescriptionCo-Rte-Post: LA-71-22/23
QA Service Level1 (Verified on 02/10/2022)

Sample Information

Sample Taken Date02/05/2022 Sample Unique Key23
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 testing02/09/2022
Sample typeVerification A brief description of the sampleCrum Rubber
The quantity of what the sample constitutes1 Bag Crum 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 identification0125G-22 Linked DIME Sample ID
The fabricator/manufacturer/facility nameAll American Asphalt-Irwindale 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
2022-02-05-23-1CTM 385-November 2016: Method of Test for Crumb Rubber Modifier (CRM)A. Behjati, CT D08 - Fontana Southern Regional Laboratory02/11/2022Satish Jain
No
Adj. Weight Retained on # 16 Sieve was -0.5 gm which the system is not taking so I changed this to 0.0 Info
2022-02-05-23-2CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine AggregatesA. Behjati, CT D08 - Fontana Southern Regional Laboratory02/11/2022Satish Jain
No
Info

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2022-02-05-23-1 CTM 385-November 2016
DIME Test ID: 2022-02-05-23-2 CTM 208-September 2011