DIME - Test Summary

Summary for Test 2023-04-25-43-1

Test performed: CTM 208-September 2011

Project Identifiers	Project ID: 993805 DEA: 070W1404 EFIS: 0721000062
DIST-CO-RTE-PM	07-VEN-1-4.4/9.7
Award Date	06/24/2022
Closeout Date	Not set
Work Description	COLD PLACE AC PAVEMENT AND PLACE RHMA-G.
Location Description	VENTURA COUNTY FROM BIG SYCAMORE MAINTENANCE STATION AND PARK TO 0.2 MILE SOUTH OF GALLEGUAS GREEK BRIDGE
QA Service Level	1 (Verified on 05/11/2022)

Sample Taken Date	04/25/2023	Sample Unique Key	43
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	04/28/2023
Sample type	Verification	A brief description of the sample	CRM/ Scrap
The quantity of what the sample constitutes	2 Qt. Of CRM	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Avo	Last name of sampler or witnessed by	Karajian
Title of sampler		Telephone number of sampler
Laboratory sample identification	0221G-23	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Vulcan Materials- Saticoy	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	326122 SAT VLO

DIME Sample ID: 2023-04-25-43

DIME Test ID: 2023-04-25-43-1

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: 2023-08-10

Input Type: Calculated

Tester's full name: Zaid Khaliq

Date of test: 05/05/2023

Specific Gravity: 1.17

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

Test was verified on 8/10/2023 ✔