Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2022-08-18-74
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993387 DEA: 07323404 EFIS: 0716000064 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5-R59.5/R67.9 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | PLACE CULVERT, REPLACE DRAINAGE SYSTEM, RECONST ROADWAY & EMBANKMENT. |
| Location Description | LOS ANGELES COUNTY AT VARIOUS LOCATIONS FROM LAKE HUGHES ROAD UNDERCROSSING TO 1.9 MILES NORTH OF TEMPLIN HIGHWAY UNDERCROSSING |
| QA Service Level | 1 (Verified on 12/06/2021) |
Sample Information
| Sample Taken Date | 08/18/2022 | Sample Unique Key | 74 |
|---|---|---|---|
| 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 | 08/30/2022 |
| Sample type | Verification | A brief description of the sample | Hi-Nat |
| The quantity of what the sample constitutes | 1 Qt Hi-Nat | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Vulcan | Last name of sampler or witnessed by | QC |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0599G-22 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Vulcan Materials- Sun Valley 3 | 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 |
|---|---|---|---|---|---|---|---|---|
| 2022-08-18-74-1 | CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine Aggregates | Amir Behjati, CT D08 - Fontana Southern Regional Laboratory | 09/01/2022 | Satish Jain | No | Info | ||
| 2022-08-18-74-2 | CTM 385-November 2016: Method of Test for Crumb Rubber Modifier (CRM) | Amir Behjati, CT D08 - Fontana Southern Regional Laboratory | 09/01/2022 | Satish Jain | No | Actual Weight Of Fabric is 0.03 gm which is 0.03% | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-08-18-74-1 CTM 208-September 2011
DIME Test ID: 2022-08-18-74-2 CTM 385-November 2016