DIME - Print Example Test Card

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Tester's full name *: ____________

Date of test *: ____ / ____ / ____ (Month / Day / Year)

Aggregate Source *: ____________

Aggregate Type *: ____________

Aggregate Maximum Nominal Size *: ____________

Grading designation used? *: A B C D (Circle One)

Percent loss by mass due to abrasion and impact *: __________ %

General comments (publicly viewable) (Max 250 characters):

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Project test result compliance comments (Max 250 characters):

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Test result compliance: complies does not comply not applicable (Circle One)