DIME - Test Summary

Summary for Test 2021-08-16-30-2

Test performed: CTM 208-September 2011

Project Identifiers	Project ID: 215446 DEA: 120S4504 EFIS: 1220000070
DIST-CO-RTE-PM	12-ORA-39-8.5/11.7
Award Date	03/02/2021
Closeout Date	03/01/2022
Work Description	COLD PLANE AC PVMT AND PLACE RHMA
Location Description	ORANGE COUNTY IN WESTMINSTER AND STANTON FROM ROUTE 22/39 SEPARATION TO STARR STREET
QA Service Level	1 (Verified on 02/22/2021)

Sample Taken Date	08/16/2021	Sample Unique Key	30
Date that the sample was received by the laboratory/organization performing the testing	08/24/2021	Sample type	Verification
A brief description of the sample	Crumb Rubber Scrap	The quantity of what the sample constitutes	1 Bag of Scrap Crumb Rubber
From where was the sample collected	Manufacturer	First name of sampler or witnessed by	RJ Noble Orange
Last name of sampler or witnessed by	QC	Title of sampler
Telephone number of sampler		Laboratory sample identification	0495G-21
Linked DIME Sample ID	2021-08-16-29	The fabricator/manufacturer/facility name	RJ Noble Orange
Transportation Laboratory (TL) Number		Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier		Structure name
Bid Item	Not set

Material Type	Crumb Rubber Modifier	CRM Type	Scrap Tire
Crumb Rubber Modifier Mix Number	Not set

DIME Sample ID: 2021-08-16-30

DIME Test ID: 2021-08-16-30-2

Testing Lab: CT D08 - Fontana Southern Regional Laboratory

Test Method: CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine Aggregates

Test Release Date: 2021-09-03

Input Type: Calculated

Tester's full name: Danilo Ferrer

Date of test: 08/25/2021

Specific Gravity: 1.17

General comments (publicly viewable) (Max 1000 characters):

Test was verified on 9/3/2021 ✔