DIME - Test Summary

Summary for Test 2023-04-25-61-1

Test performed: CTM 208-September 2011

Project Identifiers	Project ID: 993116 DEA: 07320004 EFIS: 0716000029
DIST-CO-RTE-PM	07-LA-14-R31.4/36.5
Award Date	09/08/2021
Closeout Date	11/01/2023
Work Description	INSTALL WIRED MESH DRAPERY SYSTEM AND SLOPE AND ROADSIDE PAVING.
Location Description	LOS ANGELES COUNTY IN SANTA CLARITA FROM CANYON PARK BOULEVARD UNDERCROSSING TO SPRING CANYON ROAD UNDERCROSSING
QA Service Level	1 (Verified on 07/12/2021)

Sample Taken Date	04/25/2023	Sample Unique Key	61
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	05/02/2023
Sample type	Verification	A brief description of the sample	CRM Scrap
The quantity of what the sample constitutes	1 Bag Of Crumb Rubber Scrap	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Gerardo	Last name of sampler or witnessed by	Zubieta
Title of sampler		Telephone number of sampler
Laboratory sample identification	0229G-23	Linked DIME Sample ID
The fabricator/manufacturer/facility name	All American Asphalt-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	106835

DIME Sample ID: 2023-04-25-61

DIME Test ID: 2023-04-25-61-1

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: 2023-08-10

Input Type: Calculated

Tester's full name: Zaid Khaliq

Date of test: 05/05/2023

Specific Gravity: 1.17

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

Test was verified on 8/10/2023 ✔