DIME - Test Summary

Summary for Test 2021-07-23-25-2

Test performed: CTM 208-September 2011

Project Identifiers	Project ID: 215609 DEA: 074W9404 EFIS: 0720000196
DIST-CO-RTE-PM	07-LA-101-0.0/1.0
Award Date	05/06/2021
Closeout Date	07/14/2022
Work Description	COLD PLANE AND OVERLAY WITH RUBBERIZED HOT MIX ASPHALT, SLURRY SEAL.
Location Description	LOS ANGELES COUNTY IN LOS ANGELES FROM ROUTE 10/101 SEPARATION TO SPRING STREET OVERCROSSING
QA Service Level	1 (Verified on 08/17/2021)

Sample Taken Date	07/23/2021	Sample Unique Key	25
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	07/27/2021
Sample type	Verification	A brief description of the sample	Crumb Rubber Scrap
The quantity of what the sample constitutes	1 Bag of Scrap Crumb Rubber	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Blue Diamond Irwindale	Last name of sampler or witnessed by	QC
Title of sampler		Telephone number of sampler
Laboratory sample identification	0431G-21	Linked DIME Sample ID	2021-07-23-5
The fabricator/manufacturer/facility name	Blue Diamond Material-Irwindale	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name

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

DIME Sample ID: 2021-07-23-25

DIME Test ID: 2021-07-23-25-2

Testing Lab: CT D08 - Fontana Southern Regional Laboratory

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

Test Release Date: 2021-08-25

Input Type: Calculated

Tester's full name: Danilo Ferrer

Date of test: 07/28/2021

Specific Gravity: 1.16

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

Test was verified on 8/25/2021 ✔