Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2023-05-17-74

Project Information

Project IdentifiersProject ID: 214573
DEA: 073096U4
EFIS: 0719000091
DIST-CO-RTE-PM07-LA-210-R0.0/R9.7
Award Date04/03/2020
Closeout Date06/06/2024
Work DescriptionPLACE CONCRETE PAVEMENT, BARRIER, HMA, DRAINAGE, AND ELECTRICAL.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES FROM INTERSTATE 5 TO WHEATLAND AVENUE UNDERCROSSING
QA Service Level1 (Verified on 06/05/2020)

Sample Information

Sample Taken Date05/17/2023 Sample Unique Key74
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 testing06/01/2023
Sample typeVerification A brief description of the sample1 Bag of Hi-Natural
The quantity of what the sample constitutes1 Bag of Hi-Natural Crumb Rubber From where was the sample collectedManufacturer
First name of sampler or witnessed byThomas Last name of sampler or witnessed by Shivens QC
Title of sampler Telephone number of sampler
Laboratory sample identification0286G-23 Linked DIME Sample ID
The fabricator/manufacturer/facility nameVulcan Materials Sun Valley 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 Number326120 SVA3 LTR

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-05-17-74-1CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine AggregatesZaid.A, CT D08 - Fontana Southern Regional Laboratory06/03/2023Satish Jain
Yes
09/07/2023
2023-05-17-74-2CTM 385-November 2016: Method of Test for Crumb Rubber Modifier (CRM)Zaid.A, CT D08 - Fontana Southern Regional Laboratory06/03/2023Satish Jain
Yes
09/07/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-05-17-74-1 CTM 208-September 2011 (Verified)
DIME Test ID: 2023-05-17-74-2 CTM 385-November 2016 (Verified)