Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2022-02-05-24
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Project Information
| Project Identifiers | Project ID: 993562 DEA: 070Q7404 EFIS: 0720000271 |
|---|---|
| DIST-CO-RTE-PM | 07-LA--71-22/23 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | IN 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 Description | Co-Rte-Post: LA-71-22/23 |
| QA Service Level | 1 (Verified on 02/10/2022) |
Sample Information
| Sample Taken Date | 02/05/2022 | Sample Unique Key | 24 |
|---|---|---|---|
| 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 testing | 02/09/2022 |
| Sample type | Verification | A brief description of the sample | Hi-Natural |
| The quantity of what the sample constitutes | 1 Bag of Hi-Natural | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Victor | Last name of sampler or witnessed by | Pham |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0125G-22 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | All American Asphalt-Irwindale | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Crumb Rubber Modifier | CRM Type | High Natural |
|---|---|---|---|
| Crumb Rubber Modifier Mix Number | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| 2022-02-05-24-1 | CTM 385-November 2016: Method of Test for Crumb Rubber Modifier (CRM) | A. Behjati, CT D08 - Fontana Southern Regional Laboratory | 02/11/2022 | Satish Jain | No | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-02-05-24-1 CTM 385-November 2016