Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2023-05-23-53

Project Information

Project IdentifiersProject ID: 993508
DEA: 070W1104
EFIS: 0721000059
DIST-CO-RTE-PM07-LA-210-R35.9/R52.2
Award Date04/04/2022
Closeout Date09/24/2024
Work DescriptionCOLD PLANE OVERLAY, INDIVIDUAL REPLACEMENT SLAB AND TRAFFIC STRIPING.
Location DescriptionLOS ANGELES COUNTY FROM HIGHLAND AVENUE UNDERCROSSING IN DUARTE TO SAN ANTONIO WASH BRIDGE IN CLAREMONT.
QA Service Level1 (Verified on 04/19/2022)

Sample Information

Sample Taken Date05/23/2023 Sample Unique Key53
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 testing06/02/2023
Sample typeVerification A brief description of the sampleCRM Scrap
The quantity of what the sample constitutes 1 Bag Of CRM From where was the sample collectedManufacturer
First name of sampler or witnessed byVictor Last name of sampler or witnessed byPham
Title of sampler Telephone number of sampler
Laboratory sample identification0289G-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
2023-05-23-53-1CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine AggregatesZaid.A, CT D08 - Fontana Southern Regional Laboratory06/05/2023Satish Jain
Yes
09/07/2023
2023-05-23-53-2CTM 385-November 2016: Method of Test for Crumb Rubber Modifier (CRM)Zaid.A, CT D08 - Fontana Southern Regional Laboratory06/05/2023Satish Jain
Yes
09/07/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-05-23-53-1 CTM 208-September 2011 (Verified)
DIME Test ID: 2023-05-23-53-2 CTM 385-November 2016 (Verified)