*Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Sample Record for 2020-01-01-9


Project Information

Project ID: 213943 DEA: 051G5704 EFIS: 0515000049 QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO-58-0.7/1.9
Work Description: COLD PLANE AC, PLACE RHMA-G AND RECONSTRUCT CURB RAMPS.
Location Description: SAN LUIS OBISPO COUNTY AT SANTA MARGARITA FROM 0.7 MILE EAST OF ROUTE 101/58 SEPARATION TO J STREET
Contractor Name: GRANITE CONSTRUCTION COMPANY Contractor Address: 5335 Debbie Road
Resident Engineer: Hassan Iman Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-01-01-9
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Field Laboratory
Sample Organization Contact: (559) 230-3109
Type of Sample: Quality Control
Type of Material: Crumb Rubber Modifier
Sample Taken Date: 01/01/2020
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 0
A brief description of the sample: CRM
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:

Material Information

CRM Type: High Natural

Test Results

Test 1 of 2

DIME Test ID: 2020-01-01-9-2
Test Method: ASTM D297-15: Standard Test Methods for Rubber Products - Chemical Analysis (Chemical Analysis)
Verified Date: 01/17/2020
Date Tested: 01/01/2020
Submitted By Organization: CT D05 - Field Laboratory
Organization Address: 50 Higuera St
Test General Comments:
Additional Comments When Verified:
CRM Type High Natural
Natural rubber content in high natural CRM 41.9 %

Test Results

Test 2 of 2

DIME Test ID: 2020-01-01-9-3
Test Method: CTM 385-November 2016: Method of Test for Sampling and Testing Crumb Rubber Modifier (CRM)
Verified Date: 01/17/2020
Date Tested: 01/01/2020
Submitted By Organization: CT D05 - Field Laboratory
Organization Address: 50 Higuera St
Test General Comments:
Additional Comments When Verified:
CRM Gradation Type High Natural
High Natural CRM gradation (% passing No. 10 sieve) 100 %
Wire in CRM no data
Fabric in CRM no data