Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2024-04-30-24

Project Information

Project IdentifiersProject ID: 994147
DEA: 120R4104
EFIS: 1218000090
DIST-CO-RTE-PM12-ORA-1-17.4/21.5
Award Date09/27/2022
Closeout DateNot set
Work DescriptionCOLD PLANE AC AND PLACE RHMA-G.
Location DescriptionORANGE COUNTY IN NEWPORT BEACH FROM JAMBOREE ROAD TO SANTA ANA RIVER BRIDGE
QA Service Level1 (Verified on 06/28/2023)

Sample Information

Sample Taken Date04/30/2024 Sample Unique Key24
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 testing05/02/2024
Sample typeVerification A brief description of the sampleHi-Natural
The quantity of what the sample constitutes1 Bag Of Hi-Nat From where was the sample collectedManufacturer
First name of sampler or witnessed byR J Noble Last name of sampler or witnessed byQC
Title of sampler Telephone number of sampler
Laboratory sample identification0211G-24 Linked DIME Sample ID
The fabricator/manufacturer/facility nameR J Noble -Orange 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 Number49R003ARSPWEO

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2024-04-30-24-1CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine AggregatesAli Rehman, CT D08 - Fontana Southern Regional Laboratory05/07/2024Satish Jain
Yes
05/29/2024
2024-04-30-24-2CTM 385-July 2022: Method of Test for Crumb Rubber Modifier (CRM)Ali Rehman, CT D08 - Fontana Southern Regional Laboratory05/07/2024Satish Jain
Yes
05/29/2024

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2024-04-30-24-1 CTM 208-September 2011 (Verified)
DIME Test ID: 2024-04-30-24-2 CTM 385-July 2022 (Verified)