Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000751 DEA: 060Y1704 EFIS: 0619000004
QA Service Level: 1
DIST-CO-RTE-PM: 06-KIN-41-0.0/15.5
Work Description: COLD PLANE AC PVMT, OVERLAY HMA AND RHMA.
Location Description: KINGS COUNTY NEAR KETTLEMAN CITY FROM THE KERN COUNTY LINE TO 0.8 MILE SOUTH OF ROUTE 5
Contractor Name: PAPICH CONSTRUCTION COMPANY, INC.
Contractor Address: Unknown
Resident Engineer: Oscar Sherrill Structure Rep.: Ramandeep Guraya
DIME Sample ID: 2025-10-28-130
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: Crumb Rubber Manufacturers
DIME Test ID: 2025-10-28-130-1
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: High Natural Tire
Test Result Compliance: does not comply
Additional Comments When Verified:
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Fabric in CRM
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0.14 %
|
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Wire in CRM
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0.01 %
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