Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2023-04-06-16

Project Information

Project IdentifiersProject ID: 214337
DEA: 080E33U4
EFIS: 0817000075
DIST-CO-RTE-PM08-SBD-115-R7.3/R10.0
Award Date04/26/2021
Closeout DateNot set
Work DescriptionADD WB AUX & EB DECEL LANES, WIDEN I15 SW CONNECT,RAMPS/BRDG
Location DescriptionSAN BERNARDINO COUNTY IN ONTARIO FROM 0.2 MILE WEST OF CUCAMONGA CREEK BRIDGE TO MILLIKEN AVENUE
QA Service Level1 (Verified on 06/23/2021)

Sample Information

Sample Taken Date04/06/2023 Sample Unique Key16
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 testing04/11/2023
Sample typeVerification A brief description of the sampleCRM Scrap
The quantity of what the sample constitutes1 Bag CRM From where was the sample collectedManufacturer
First name of sampler or witnessed byVictor Last name of sampler or witnessed byCapacete
Title of sampler Telephone number of sampler
Laboratory sample identification0198G-23 Linked DIME Sample ID
The fabricator/manufacturer/facility nameAll American Asphalt- Corona 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 Number106835

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-04-06-16-1CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine AggregatesZaid Khaliq, CT D08 - Fontana Southern Regional Laboratory04/13/2023Satish Jain
Yes
07/27/2023
2023-04-06-16-2CTM 385-November 2016: Method of Test for Crumb Rubber Modifier (CRM)Zaid Khaliq, CT D08 - Fontana Southern Regional Laboratory04/13/2023Satish Jain
Yes
07/27/2023

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2023-04-06-16-1 CTM 208-September 2011 (Verified)
DIME Test ID: 2023-04-06-16-2 CTM 385-November 2016 (Verified)