DIME - Test Summary

Summary for Test 2023-07-27-50-1

Test performed: CTM 208-September 2011

Project Identifiers	Project ID: 994328 DEA: 081H0604 EFIS: 0816000130
DIST-CO-RTE-PM	08-RIV-74-34.3/45.1
Award Date	01/03/2023
Closeout Date	Not set
Work Description	FIBER OPTIC CABLE SYSTEMS, RHMA, HMA, AND MINOR CONCRETE.
Location Description	RIVERSIDE COUNTY IN AND NEAR HEMET FROM WINCHESTER ROAD TO FAIRVIEW AVENUE
QA Service Level	1 (Verified on 08/28/2023)

Sample Taken Date	07/27/2023	Sample Unique Key	50
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	07/31/2023
Sample type	Verification	A brief description of the sample	Hi-Natural
The quantity of what the sample constitutes	1 Bag Of Hi- Nat	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Victor	Last name of sampler or witnessed by	Capacete
Title of sampler		Telephone number of sampler
Laboratory sample identification	0396G-23	Linked DIME Sample ID
The fabricator/manufacturer/facility name	All American Asphalt Perris	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	106836

DIME Sample ID: 2023-07-27-50

DIME Test ID: 2023-07-27-50-1

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: 2023-10-05

Input Type: Calculated

Tester's full name: Amir Behjati

Date of test: 08/02/2023

Specific Gravity: 1.17

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

Test was verified on 10/5/2023 ✔