DIME - Test Summary

Summary for Test 2017-12-19-7-2

Test performed: CTM 208-September 2011

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	12/19/2017	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	12/19/2017
Sample type	Quality Control	A brief description of the sample	TEST Antistrip
The quantity of what the sample constitutes	TEST Quantity	From where was the sample collected	Other
First name of sampler or witnessed by	TEST First	Last name of sampler or witnessed by	TEST Last
Title of sampler	TEST Sampler	Telephone number of sampler	6268566190
Laboratory sample identification	Lab 326120	Linked DIME Sample ID	TEST DIME ID
The fabricator/manufacturer/facility name	CRM	Transportation Laboratory (TL) Number	TL 326120
Inspector Lot Number from the Transportation Laboratory (TL) Form	TEST TL	Structure unique identifier	Not set
Structure name	Not set

Material Type	Crumb Rubber Modifier	CRM Type	Scrap Tire
Crumb Rubber Modifier Mix Number	Not set

DIME Sample ID: 2017-12-19-7

DIME Test ID: 2017-12-19-7-2

Testing Lab: CT HQ - QAM Sacramento Field Laboratory

Test Method: CTM 208-September 2011: Method of Test for Apparent Specific Gravity of Fine Aggregates

Test Release Date: 2017-12-26

Input Type: Calculated

Tester's full name: Clinton Edmiston

Date of test: 12/19/2017

Specific Gravity: 1.12

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

Test was verified on 12/19/2017 ✔