DIME - Test Summary

Summary for Test 2021-10-14-43-2

Test performed: CTM 208-September 2011

Project Identifiers	Project ID: 215083 DEA: 07307504 EFIS: 0714000217
DIST-CO-RTE-PM	07-LA-101-11.8/31.1
Award Date	09/21/2020
Closeout Date	08/25/2022
Work Description	PLACE RHMA-G, MODIFY RAMP METERING AND SIGNAL AND LIGHTING SYSTEMS.
Location Description	LOS ANGELES COUNTY FROM TUJUNGA AVENUE UNDERCROSSING TO LAS VIRGENES ROAD OVERCROSSING
QA Service Level	1 (Verified on 11/18/2020)

Sample Taken Date	10/14/2021	Sample Unique Key	43
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	10/18/2021
Sample type	Verification	A brief description of the sample	Hi Natural Crumb Rubber
The quantity of what the sample constitutes	1 Bag of Hi Natural Crumb Rubber	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Victor	Last name of sampler or witnessed by	Pham
Title of sampler		Telephone number of sampler
Laboratory sample identification	0591G-21	Linked DIME Sample ID	2021-10-14-41
The fabricator/manufacturer/facility name	Vulcan Sun Valley	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	High Natural
Crumb Rubber Modifier Mix Number	Not set

DIME Sample ID: 2021-10-14-43

DIME Test ID: 2021-10-14-43-2

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: 2021-10-25

Input Type: Calculated

Tester's full name: Danilo Ferrer

Date of test: 10/20/2021

Specific Gravity: 1.18

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

Test was verified on 10/25/2021 ✔