DIME - Sample Record for DIME Sample ID 2022-11-02-33

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Sample Record

Owner Lab

CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2022-11-02-33

Project Information

Project Identifiers	Project ID: 993611 DEA: 112N1154 EFIS: 1121000144
DIST-CO-RTE-PM	11-IMP-115-R3.2/R8.8,9.5/21.2
Award Date	05/03/2022
Closeout Date	05/02/2023
Work Description	ASPHALT RUBBER BINDER CHIP SEAL, PAVEMENT MARKINGS & SHOULDER BACKING.
Location Description	IMPERIAL COUNTY IN AND NEAR HOLTVILLE FROM ROUTE 115/8 SEPARATION TO TOWLAND ROAD AND FROM WEST JUNCTION EVAN HEWES HIGHWAY TO EAST JUNCTION ROUTE 78/115
QA Service Level	1 (Verified on 03/07/2022)

Sample Information

Sample Taken Date	11/02/2022	Sample Unique Key	33
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	11/09/2022
Sample type	Per Request	A brief description of the sample	CRM /HI Nat
The quantity of what the sample constitutes	1 bag	From where was the sample collected	Supplier
First name of sampler or witnessed by	APS	Last name of sampler or witnessed by	APS
Title of sampler	APS	Telephone number of sampler
Laboratory sample identification	8054	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Rubber plant Coachella	Transportation Laboratory (TL) Number	C 3313
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

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date	Test Comments	Actions
2022-11-02-33-1	CTM 385-July 2022: Method of Test for Crumb Rubber Modifier (CRM)	Zaid Abdelkhaliq, CT D08 - Fontana Southern Regional Laboratory	11/10/2022	Zaid Abdelkhaliq	Yes	11/15/2022	please compare with project spec.
2022-11-02-33-2	CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine Aggregates	Zaid Abdelkhaliq, CT D08 - Fontana Southern Regional Laboratory	11/14/2022	Zaid Abdelkhaliq	Yes	11/15/2022	please compare with project spec.

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
No results found.

Test File Attachments

DIME Test ID: 2022-11-02-33-1 CTM 385-July 2022 (Verified)
DIME Test ID: 2022-11-02-33-2 CTM 208-September 2011 (Verified)