Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000912 DEA: 061G7704 EFIS: 0624000165
QA Service Level: 1
DIST-CO-RTE-PM: 06-KIN-5-16.6/26.7
Work Description: REMOVE AND REPLACE ASPHALT CONCRETE OVERLAY.
Location Description: KINGS COUNTY IN AND NEAR AVENAL FROM ROUTE 5/41 SEPARATION TO FRESNO COUNTY LINE
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: Unknown
Resident Engineer: Chantha Chap Structure Rep.: Unknown
DIME Sample ID: 2025-10-28-127
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Quality Assurance
Type of Material: Crumb Rubber Modifier
Sample Taken Date: 10/28/2025
Date that the sample was received by the laboratory/organization performing the testing: 12/05/2025
The quantity of what the sample constitutes: 1 Bag each of Hi-Natural and Scrap Crumb Rubber
A brief description of the sample: Hi-Natural and Scrap Crumb Rubber
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: American Tire Recycling
DIME Test ID: 2025-10-28-127-1
Test Method: CTM 385-July 2022: Method of Test for Crumb Rubber Modifier (CRM)
Verified Date: 02/13/2026
Date Tested: 12/06/2025
Submitted By Organization: CT HQ - Sacramento Asphalt Binder Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (530) 713-6823
General Comments for this Test: Scrap Tire
Test Result Compliance: does not comply
Additional Comments When Verified:
|
Fabric in CRM
|
no data0 %
|
|
Wire in CRM
|
0.06 %
|
