DIME - Test Summary

Summary for Test 2021-09-09-22-2

Test performed: CTM 208-September 2011

Project Identifiers	Project ID: 215687 DEA: 074W6104 EFIS: 0719000104
DIST-CO-RTE-PM	07-LA-18-0.0/4.5
Award Date	05/26/2021
Closeout Date	10/06/2022
Work Description	PLACE RUBBERIZED HMA (GAP GRADED).
Location Description	LOS ANGELES COUNTY NEAR LLANO FROM SAN BERNARDINO COUNTY LINE TO JUNCTION ROUTE 138
QA Service Level	1 (Verified on 07/01/2021)

Sample Taken Date	09/09/2021	Sample Unique Key	22
Date that the sample was received by the laboratory/organization performing the testing	09/10/2021	Sample type	Verification
A brief description of the sample	Crumb Rubber High Natural	The quantity of what the sample constitutes	1 Bag of Hi-Natural Crumb Rubber
From where was the sample collected	Manufacturer	First name of sampler or witnessed by	William
Last name of sampler or witnessed by	Lucas	Title of sampler
Telephone number of sampler		Laboratory sample identification	0524G-21
Linked DIME Sample ID	2021-09-09-18	The fabricator/manufacturer/facility name	Granite Construction Company Llano
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	High Natural
Crumb Rubber Modifier Mix Number	Not set

DIME Sample ID: 2021-09-09-22

DIME Test ID: 2021-09-09-22-2

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: 2021-09-22

Input Type: Calculated

Tester's full name: Parkash Patel

Date of test: 09/14/2021

Specific Gravity: 1.15

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

Test was verified on 9/22/2021 ✔