DIME - Test Summary

Summary for Test 2020-01-01-8-1

Test performed: CTM 385-November 2016

Project Identifiers	Project ID: 213943 DEA: 051G5704 EFIS: 0515000049
DIST-CO-RTE-PM	05-SLO-58-0.7/1.9
Award Date	06/14/2019
Closeout Date	05/06/2020
Work Description	COLD PLANE AC, PLACE RHMA-G AND RECONSTRUCT CURB RAMPS.
Location Description	SAN LUIS OBISPO COUNTY AT SANTA MARGARITA FROM 0.7 MILE EAST OF ROUTE 101/58 SEPARATION TO J STREET
QA Service Level	1 (Verified on 08/20/2019)

Sample Taken Date	01/01/2020	Sample Unique Key	8
Date that the sample was received by the laboratory/organization performing the testing	Not set	Sample type	Quality Control
A brief description of the sample	CRM	The quantity of what the sample constitutes	0
From where was the sample collected	Manufacturer	First name of sampler or witnessed by	Mr
Last name of sampler or witnessed by	witness	Title of sampler
Telephone number of sampler		Laboratory sample identification
Linked DIME Sample ID	JMF3512-2020-156-G2214H830	The fabricator/manufacturer/facility name	CRM
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: 2020-01-01-8

DIME Test ID: 2020-01-01-8-1

Testing Lab: CT D05 - San Luis Obispo District Laboratory

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

Test Release Date: 2020-01-17

CRM Gradation Type: Scrap Tire

Input Type: Calculated

Tester's full name: Daniel Gingras

Date of test: 01/01/2020

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 1/17/2020 ✔