Sample Record for 2019-03-27-13
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 66667 DEA: JMFPP EFIS: 0019000043
QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for submitting Sample information for JMF Prequalification Program.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2019-03-27-13
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Quality Control
Type of Material: Crumb Rubber Modifier
Sample Taken Date: 03/27/2019
Date that the sample was received by the laboratory/organization performing the testing: 03/27/2019
The quantity of what the sample constitutes: 1 sample set
A brief description of the sample: Scrap - Crumb Rubber Modifier - BAS Recycling Inc.
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: BAS Recycling Inc
Material Information
CRM Type: Scrap Tire
Crumb Rubber Modifier Mix Number:
Test Results
Test 1 of 2
DIME Test ID: 2019-03-27-13-1
Test Method: CTM 385-November 2016: Method of Test for Sampling and Testing Crumb Rubber Modifier (CRM)
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
This test has been superseded on 04/03/2019.
Reason: retested
Test 2 of 2
DIME Test ID: 2019-03-27-13-2
Test Method: CTM 385-November 2016: Method of Test for Sampling and Testing Crumb Rubber Modifier (CRM)
Verified Date: 04/03/2019
Date Tested: 04/01/2019
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test: JMFPP: CT 385
Scrap - Crumb Rubber Modifier - BAS Recycling Inc.
Test Result Compliance:
Additional Comments When Verified:
CRM Gradation Type
|
Scrap Tire
|
Scrap Tire CRM gradation (% passing No. 8 sieve)
|
100 %
|
Wire in CRM
|
no data
|
Fabric in CRM
|
no data
|