Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2023-05-26-41
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214337 DEA: 080E33U4 EFIS: 0817000075 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-115-R7.3/R10.0 |
| Award Date | 04/26/2021 |
| Closeout Date | Not set |
| Work Description | ADD WB AUX & EB DECEL LANES, WIDEN I15 SW CONNECT,RAMPS/BRDG |
| Location Description | SAN BERNARDINO COUNTY IN ONTARIO FROM 0.2 MILE WEST OF CUCAMONGA CREEK BRIDGE TO MILLIKEN AVENUE |
| QA Service Level | 1 (Verified on 06/23/2021) |
Sample Information
| Sample Taken Date | 05/26/2023 | Sample Unique Key | 41 |
|---|---|---|---|
| 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 testing | 06/16/2023 |
| Sample type | Verification | A brief description of the sample | Scrap Crumb Rubber |
| The quantity of what the sample constitutes | 1 Bag of CRM Scrap | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Victor | Last name of sampler or witnessed by | QC |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0321G-23 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | All American Asphalt- Corona | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Crumb Rubber Modifier | CRM Type | Scrap Tire |
|---|---|---|---|
| Crumb Rubber Modifier Mix Number | 106835 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| 2023-05-26-41-1 | CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine Aggregates | Zaid.A, CT D08 - Fontana Southern Regional Laboratory | 05/19/2023 | Satish Jain | No | Info | ||
| 2023-05-26-41-2 | CTM 385-November 2016: Method of Test for Crumb Rubber Modifier (CRM) | Zaid.A, CT D08 - Fontana Southern Regional Laboratory | 06/19/2023 | Satish Jain | No | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-05-26-41-1 CTM 208-September 2011
DIME Test ID: 2023-05-26-41-2 CTM 385-November 2016