Sample Record

DIME Sample ID 2019-08-16-17

Project Information

Project Identifiers
DEA: No Project
DIST-CO-RTE-PM---
Award DateNot set
Closeout Date11/01/2022
Work DescriptionSpecial project identifier for material not associated with a project
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Owner Lab

  • CT D05 - San Luis Obispo District Laboratory

Sample Information

Sample Taken Date08/16/2019 Sample Unique Key17
Date that the sample was received by the laboratory/organization performing the testing08/23/2019 Sample typeVerification
A brief description of the sampleAggregate, Loose Mix, Asphalt, LAS, RAP The quantity of what the sample constitutesOne JMF Verification
From where was the sample collectedOther First name of sampler or witnessed byTom
Last name of sampler or witnessed byChromwell Title of samplerMNS Consultant
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility namePapich Paso Robles
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeAsphalt Binder Performance GradePG 64-10
Modified Lot numberNot set
Sublot numberNot set Tank numberNot set
Time of sampleNot set HMA SupplierNot set
Certified Asphalt SupplierNot set MultigradeNot set
Multigrade TypeNot set Asphalt Binder Mix NumberNot set
HMA TypeNot set HMA Supplier Mix ID NumberNot set

JMF Information

Verification IDJMF3513-2019-77 Date Created09/26/2019
JMF Submittal IDJMF3511-208-2019-112 JMF StatusSubmittal Accepted for Verification
Producer Mix IDTEM12SPLA Authorized DateN/A

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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Sample File Attachments

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Test File Attachments