Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-08-28-40
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 214697 DEA: 07307104 EFIS: 0714000213 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-101-32.8 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | CONSTRUCT BRIDGE. |
| Location Description | LOS ANGELES COUNTY IN AND NEAR AGOURA HILLS FROM 0.1 MILE WEST OF LIBERTY CANYON ROAD UNDERCROSSING TO 0.6 MILE EAST OF PALO COMADO OVERCROSSING |
| QA Service Level | 1 (Verified on 07/12/2021) |
Sample Information
| Sample Taken Date | 08/28/2024 | Sample Unique Key | 40 |
|---|---|---|---|
| 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 | 08/30/2024 |
| Sample type | Verification | A brief description of the sample | Scrap |
| The quantity of what the sample constitutes | 1 Can of Scrap Rubber Tire | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | John | Last name of sampler or witnessed by | Mejiah |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0447G-24 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Belt Cut at Vulcan Materials-Sun Valley | 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 | 226108M SVA VLO |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| 2024-08-28-40-1 | CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine Aggregates | Ali Rehman, CT D08 - Fontana Southern Regional Laboratory | 09/13/2024 | Satish Jain | No | Info | ||
| 2024-08-28-40-2 | CTM 385-July 2022: Method of Test for Crumb Rubber Modifier (CRM) | Ali Rehman, CT D08 - Fontana Southern Regional Laboratory | 10/09/2024 | Satish Jain | No | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-08-28-40-1 CTM 208-September 2011
DIME Test ID: 2024-08-28-40-2 CTM 385-July 2022