DIME - Test Summary

Summary for Test 2021-11-13-7-2

Test performed: CTM 208-September 2011

Project Identifiers	Project ID: 7613 DEA: 071218W4 EFIS: 0700021119
DIST-CO-RTE-PM	07-LA-5-29.4/31.6
Award Date	11/29/2012
Closeout Date	07/31/2023
Work Description	REALIGN ROUTE 5 AND RAILROAD TRACKS AND RECONFIGURE ON- AND OFF-RAMPS.
Location Description	LOS ANGELES COUNTY IN BURBANK FROM WEST MAGNOLIA BOULEVARD OVERCROSSING TO 0.3 MILE NORTH OF BUENA VISTA STREET/WINONA AVENUE UNDERCROSSING
QA Service Level	1 (Verified on 10/08/2012)

Sample Taken Date	11/13/2021	Sample Unique Key	7
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	11/16/2021
Sample type	Verification	A brief description of the sample	PSUE 1/2" RHMA-G-SP 0.5% LAS
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	Caesar	Last name of sampler or witnessed by	Gomez
Title of sampler		Telephone number of sampler
Laboratory sample identification	0637G-21	Linked DIME Sample ID	2021-11-13-5
The fabricator/manufacturer/facility name	Vulcan Materials Sun Valley	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	High Natural
Crumb Rubber Modifier Mix Number	Not set

DIME Sample ID: 2021-11-13-7

DIME Test ID: 2021-11-13-7-2

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: 2021-11-23

Input Type: Calculated

Tester's full name: Amir Behjati

Date of test: 11/19/2021

Specific Gravity: 1.19

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

Test was verified on 11/23/2021 ✔