DIME - Test Summary

Summary for Test 2019-10-29-52-1

Test performed: CTM 385-November 2016

Project Identifiers	Project ID: 214136 DEA: 010F3604 EFIS: 0115000115
DIST-CO-RTE-PM	01-HUM-101-R39.2/R48.3
Award Date	07/31/2019
Closeout Date	01/04/2021
Work Description	COLD PLANE AC PAVEMENT, RHMA OVERLAY, AND GUARDRAIL INSTALLATION.
Location Description	HUMBOLDT COUNTY NEAR REDCREST, PEPPERWOOD, AND STAFFORD FROM ENGLWOOD PARK UNDERCROSSING TO EEL RIVER BRIDGE AND OVERHEAD
QA Service Level	1 (Verified on 06/24/2019)

Sample Taken Date	10/29/2019	Sample Unique Key	52
Date that the sample was received by the laboratory/organization performing the testing	10/29/2019	Sample type	Quality Control
A brief description of the sample	1/2" RHMA-G	The quantity of what the sample constitutes	JMF
From where was the sample collected	Manufacturer	First name of sampler or witnessed by	Matt
Last name of sampler or witnessed by	Horn	Title of sampler
Telephone number of sampler		Laboratory sample identification
Linked DIME Sample ID		The fabricator/manufacturer/facility name	Mercer Fraser B
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	Not set

DIME Sample ID: 2019-10-29-52

DIME Test ID: 2019-10-29-52-1

Testing Lab: Trinity Engineering Laboratories, Incorporated - Fresno

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

Test Release Date: 2019-10-30

CRM Gradation Type: Scrap Tire

Input Type: Calculated

Tester's full name: Matthew Horn

Date of test: 10/30/2019

Scrap Tire CRM gradation (% passing No. 8 sieve): 100 %

Wire in CRM: 0 %

Fabric in CRM: 0 %

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

Test was verified on 10/30/2019 ✔