DIME - Test Summary

Summary for Test 2022-09-06-31-1

Test performed: CTM 208-September 2011

Project Identifiers	Project ID: 993418 DEA: 07324404 EFIS: 0716000077
DIST-CO-RTE-PM	07-LA-22-0.0/1.5
Award Date	02/18/2022
Closeout Date	09/24/2024
Work Description	PLACE RHMA-G AND MODIFY SIGNAL AND LIGHTING SYSTEM.
Location Description	LOS ANGELES COUNTY IN LONG BEACH FROM ROUTE 1 TO SAN GABRIEL RIVER UNDERCROSSING
QA Service Level	1 (Verified on 12/06/2021)

Sample Taken Date	09/06/2022	Sample Unique Key	31
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	09/19/2022
Sample type	Verification	A brief description of the sample	Hi-Nat
The quantity of what the sample constitutes	1 Bag Hi-Nat	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	0543G-22	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Belt Cut at Blue Diamond-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	High Natural
Crumb Rubber Modifier Mix Number	Not set

DIME Sample ID: 2022-09-06-31

DIME Test ID: 2022-09-06-31-1

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: 2022-11-15

Input Type: Calculated

Tester's full name: Zaid A

Date of test: 09/21/2022

Specific Gravity: 1.19

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

Test was verified on 11/15/2022 ✔