Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2022-11-23-23

Project Information

Project IdentifiersProject ID: 993805
DEA: 070W1404
EFIS: 0721000062
DIST-CO-RTE-PM07-VEN-1-4.4/9.7
Award Date06/24/2022
Closeout DateNot set
Work DescriptionCOLD PLACE AC PAVEMENT AND PLACE RHMA-G.
Location DescriptionVENTURA COUNTY FROM BIG SYCAMORE MAINTENANCE STATION AND PARK TO 0.2 MILE SOUTH OF GALLEGUAS GREEK BRIDGE
QA Service Level1 (Verified on 05/11/2022)

Sample Information

Sample Taken Date11/23/2022 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 testing11/29/2022
Sample typeVerification A brief description of the sampleHi-Natural
The quantity of what the sample constitutes1 Qt Hi-Nat From where was the sample collectedManufacturer
First name of sampler or witnessed byVulcan Last name of sampler or witnessed byQC
Title of sampler Telephone number of sampler
Laboratory sample identification0760G-22 Linked DIME Sample ID
The fabricator/manufacturer/facility nameVulcan Materials-Saticoy 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 Number326122 SAT VLO

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-11-23-23-1CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine AggregatesZaid. A, CT D08 - Fontana Southern Regional Laboratory11/30/2022Satish Jain
Yes
01/25/2023
2022-11-23-23-2CTM 385-November 2016: Method of Test for Crumb Rubber Modifier (CRM)Zaid.A, CT D08 - Fontana Southern Regional Laboratory11/30/2022Satish Jain
Yes
01/25/2023Actual weight of Fabric is 0.11gm

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-11-23-23-1 CTM 208-September 2011 (Verified)
DIME Test ID: 2022-11-23-23-2 CTM 385-November 2016 (Verified)