Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2023-03-13-27

Project Information

Project IdentifiersProject ID: 213750
DEA: 120K0224
EFIS: 1214000097
DIST-CO-RTE-PM12-ORA-5-14.5/17.1
Award Date03/05/2019
Closeout DateNot set
Work DescriptionSouth County Improvement Project (Phase 2 - Oso/Alicia) CONST BRIDGES, RW, SW, HMA PVMT, JPCP, DRAINAGE, AND ELECT SYSTEMS.
Location DescriptionORANGE COUNTY IN MISSION VIEJO AND LAGUNA HILLS FROM 0.7 MILE SOUTH OF OSO PARKWAY OVERCROSSING TO 0.3 MILE SOUTH OF ALICIA PARKWAY OVERCROSSING
QA Service Level1 (Verified on 04/15/2019)

Sample Information

Sample Taken Date03/13/2023 Sample Unique Key27
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 testing04/18/2023
Sample typeVerification A brief description of the sampleHi-Natural
The quantity of what the sample constitutes 1 Bag of Hi-Natural From where was the sample collectedManufacturer
First name of sampler or witnessed byDavid Last name of sampler or witnessed byNguyen
Title of sampler Telephone number of sampler
Laboratory sample identification0206G-23 Linked DIME Sample ID
The fabricator/manufacturer/facility nameAll American Asphalt-Irvine 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 Number108835

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-03-13-27-1CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine AggregatesZaid.A, CT D08 - Fontana Southern Regional Laboratory04/23/2023Satish Jain
Yes
08/02/2023
2023-03-13-27-2CTM 385-November 2016: Method of Test for Crumb Rubber Modifier (CRM)Zaid.A, CT D08 - Fontana Southern Regional Laboratory04/23/2023Satish Jain
Yes
08/02/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-03-13-27-1 CTM 208-September 2011 (Verified)
DIME Test ID: 2023-03-13-27-2 CTM 385-November 2016 (Verified)