DIME - Test Summary

Summary for Test 2019-09-05-33-3

Test performed: ASTM D297-15

Project Identifiers	Project ID: 66667 DEA: JMFPP EFIS: 0019000043
DIST-CO-RTE-PM	59---
Award Date	Not set
Closeout Date	Not set
Work Description	Special project for submitting Sample information for JMF Prequalification Program.
Location Description	Not set
QA Service Level	NOT VERIFIED

Sample Taken Date	09/05/2019	Sample Unique Key	33
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	09/05/2019
Sample type	Quality Control	A brief description of the sample	3/4 inch RHMA-G SP WMA
The quantity of what the sample constitutes	1	From where was the sample collected	Source
First name of sampler or witnessed by	Marina	Last name of sampler or witnessed by	Kamel
Title of sampler		Telephone number of sampler	707-259-5708
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Syar Lake Herman	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	Scrap Tire
Crumb Rubber Modifier Mix Number	Not set

DIME Sample ID: 2019-09-05-33

DIME Test ID: 2019-09-05-33-3

Testing Lab: CT HQ - Sacramento Hot Mix Asphalt Laboratory

Test Method: ASTM D297-15: Standard Test Methods for Rubber Products - Chemical Analysis (Chemical Analysis)

Test Release Date: 2019-10-03

CRM Type: High Natural

Input Type: Calculated

Tester's full name: Lake Herman Lab

Date of test: 09/05/2019

Natural rubber content in high natural CRM: 40.5 %

General comments (publicly viewable) (Max 1000 characters): CRM - ASTM D 297

Test was verified on 10/3/2019 ✔