Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2023-05-31-65

Project Information

Project IdentifiersProject ID: 993159
DEA: 08323034
EFIS: 0812000059
COOP: 081703
Award Date05/04/2021
Closeout DateNot set
Work DescriptionProject Phase 2 (project) proposes to replace the existing hook ramp configuration along westbound (WB) SR-60 at the SR- 60/Moreno Beach Drive interchange with a partial cloverleaf configuration
Location DescriptionSR-60 & Moreno Beach Interchange
QA Service Level2 (Verified on 07/27/2021)

Sample Information

Sample Taken Date05/31/2023 Sample Unique Key65
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 testing06/16/2023
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 byVictor Last name of sampler or witnessed byQC
Title of sampler Telephone number of sampler
Laboratory sample identification0322G-23 Linked DIME Sample ID
The fabricator/manufacturer/facility nameAll American Asphalt- Perris 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 Number106835

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-05-31-65-1CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine AggregatesZaid.A, CT D08 - Fontana Southern Regional Laboratory06/20/2023Satish Jain
2023-05-31-65-2CTM 385-November 2016: Method of Test for Crumb Rubber Modifier (CRM)Zaid.A, CT D08 - Fontana Southern Regional Laboratory06/20/2023Satish Jain

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments

DIME Test ID: 2023-05-31-65-1 CTM 208-September 2011 (Verified)
DIME Test ID: 2023-05-31-65-2 CTM 385-November 2016 (Verified)