DIME - Test Summary

Summary for Test 2023-01-25-45-1

Test performed: CTM 208-September 2011

Project Identifiers	Project ID: 215456 DEA: 07293604 EFIS: 0713000238
DIST-CO-RTE-PM	07-LA-405-14.3/15.8
Award Date	05/26/2021
Closeout Date	07/03/2025
Work Description	CONSTRUCT AUXILIARY LANE AND WIDEN ON AND OFF RAMPS.
Location Description	LOS ANGELES COUNTY IN TORRANCE BETWEEN WESTERN AVENUE UNDERCROSSING AND WEST 182ND STREET
QA Service Level	1 (Verified on 07/07/2021)

Sample Taken Date	01/25/2023	Sample Unique Key	45
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	02/09/2023
Sample type	Verification	A brief description of the sample	Hi-Natural
The quantity of what the sample constitutes	1 Bag Hi-Nat	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Victor	Last name of sampler or witnessed by	Pham
Title of sampler		Telephone number of sampler
Laboratory sample identification	0142G-23	Linked DIME Sample ID
The fabricator/manufacturer/facility name	All American Asphalt-Irwindale	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	106835

DIME Sample ID: 2023-01-25-45

DIME Test ID: 2023-01-25-45-1

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: 2023-07-06

Input Type: Calculated

Tester's full name: Zaid.A

Date of test: 02/11/2023

Specific Gravity: 1.20

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

Test was verified on 7/6/2023 ✔