Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2023-04-25-61

Project Information

Project IdentifiersProject ID: 993116
DEA: 07320004
EFIS: 0716000029
DIST-CO-RTE-PM07-LA-14-R31.4/36.5
Award Date09/08/2021
Closeout Date11/01/2023
Work DescriptionINSTALL WIRED MESH DRAPERY SYSTEM AND SLOPE AND ROADSIDE PAVING.
Location DescriptionLOS ANGELES COUNTY IN SANTA CLARITA FROM CANYON PARK BOULEVARD UNDERCROSSING TO SPRING CANYON ROAD UNDERCROSSING
QA Service Level1 (Verified on 07/12/2021)

Sample Information

Sample Taken Date04/25/2023 Sample Unique Key61
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 testing05/02/2023
Sample typeVerification A brief description of the sampleCRM Scrap
The quantity of what the sample constitutes1 Bag Of Crumb Rubber Scrap From where was the sample collectedManufacturer
First name of sampler or witnessed byGerardo Last name of sampler or witnessed byZubieta
Title of sampler Telephone number of sampler
Laboratory sample identification0229G-23 Linked DIME Sample ID
The fabricator/manufacturer/facility nameAll American Asphalt-Irwindale 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
2023-04-25-61-1CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine AggregatesZaid Khaliq, CT D08 - Fontana Southern Regional Laboratory05/05/2023Satish Jain
Yes
08/10/2023
2023-04-25-61-2CTM 385-November 2016: Method of Test for Crumb Rubber Modifier (CRM)Zaid Khaliq, CT D08 - Fontana Southern Regional Laboratory05/05/2023Satish Jain
Yes
08/10/2023Actual % Of Fabric is 0.26 which is out of spec

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2023-04-25-61-1 CTM 208-September 2011 (Verified)
DIME Test ID: 2023-04-25-61-2 CTM 385-November 2016 (Verified)