DIME - Test Summary

Summary for Test 2021-09-22-31-2

Test performed: CTM 208-September 2011

Sample Taken Date	09/22/2021	Sample Unique Key	31
Will the laboratory/organization for which you are a member perform testing on this material sample?	Yes	Date that the sample was received by the laboratory/organization performing the testing	09/24/2021
Sample type	Verification	A brief description of the sample	1Bag of Scrap Crum Rubber
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	Alex	Last name of sampler or witnessed by	QC
Title of sampler		Telephone number of sampler
Laboratory sample identification	0547G-21	Linked DIME Sample ID	2021-09-22-30
The fabricator/manufacturer/facility name	Blue Diamond-Victorville	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name

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

DIME Sample ID: 2021-09-22-31

DIME Test ID: 2021-09-22-31-2

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: 2021-10-01

Input Type: Calculated

Tester's full name: Amir Behjati

Date of test: 09/28/2021

Specific Gravity: 1.14

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

Test was verified on 10/1/2021 ✔