DIME - Test Summary

Summary for Test 2017-12-18-11-1

Test performed: CTM 385-November 2016

Project Identifiers	Project ID: 99999 DEA: 0322222
DIST-CO-RTE-PM	03-SAC,OMG-888,99,80-0.6-0.6
Award Date	Not set
Closeout Date	Not set
Work Description	THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location Description	THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
QA Service Level	(Verified on 04/05/2013)

Sample Taken Date	12/18/2017	Sample Unique Key	11
Date that the sample was received by the laboratory/organization performing the testing	12/18/2017	Sample type	Quality Control
A brief description of the sample	TEST	The quantity of what the sample constitutes	TEST
From where was the sample collected	Other	First name of sampler or witnessed by	TEST
Last name of sampler or witnessed by	TEST	Title of sampler	Unknown
Telephone number of sampler	Unknown	Laboratory sample identification	Unknown
Linked DIME Sample ID	Unknown	The fabricator/manufacturer/facility name	TEST
Transportation Laboratory (TL) Number	Unknown	Inspector Lot Number from the Transportation Laboratory (TL) Form	Unknown
Structure unique identifier	Not set	Structure name	Not set
Bid Item	Not set

Material Type	Crumb Rubber Modifier	CRM Type	High Natural
Crumb Rubber Modifier Mix Number	Not set

DIME Sample ID: 2017-12-18-11

DIME Test ID: 2017-12-18-11-1

Testing Lab: CT HQ - QAM Sacramento Field Laboratory

Test Method: CTM 385-November 2016: Method of Test for Sampling and Testing Crumb Rubber Modifier (CRM)

Test Release Date: 2017-12-25

CRM Gradation Type: High Natural

Input Type: Calculated

Tester's full name: Clinton Edmiston

Date of test: 12/18/2017

High Natural CRM gradation (% passing No. 10 sieve): 100 %

Wire in CRM: no data

Fabric in CRM: no data

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

Test was verified on 12/18/2017 ✔