DIME - Test Summary

Summary for Test 2024-02-23-13-1

Test performed: CTM 208-September 2011

Project Identifiers	Project ID: 994397 DEA: 073393U4 EFIS: 0722000031
DIST-CO-RTE-PM	07-LA-605-R11.4/R19.5
Award Date	02/14/2023
Closeout Date	03/13/2025
Work Description	CONSTRUCT DPPIA DEVICES AND MODIFY LIGHTING SYSTEMS.
Location Description	LOS ANGELES COUNTY AT VARIOUS LOCATIONS FROM 0.1 MILE SOUTH OF SLAUSON AVENUE UNDERCROSSING TO 0.5 MILE NORTH OF VALLEY BOULEVARD UNDERCROSSING
QA Service Level	1 (Verified on 07/13/2023)

Sample Taken Date	02/23/2024	Sample Unique Key	13
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	02/27/2024
Sample type	Verification	A brief description of the sample	Hi-Natural
The quantity of what the sample constitutes	1 Bag Of Hi-Nat	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	G	Last name of sampler or witnessed by	Zubieta
Title of sampler		Telephone number of sampler
Laboratory sample identification	0124G-24	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: 2024-02-23-13

DIME Test ID: 2024-02-23-13-1

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: 2024-03-27

Input Type: Calculated

Tester's full name: Amir Behjati

Date of test: 02/29/2024

Specific Gravity: 1.17

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

Test was verified on 3/27/2024 ✔