Sample Record
DIME Sample ID 2020-01-30-44
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Project Information
| Project Identifiers | Project ID: 213733 DEA: 051C85U4 EFIS: 0518000156 |
|---|---|
| DIST-CO-RTE-PM | 05-SCR-1-10.2/17.5 |
| Award Date | 02/19/2019 |
| Closeout Date | 11/15/2021 |
| Work Description | Santa Cruz 1 CAPM and Bridge Rails |
| Location Description | SANTA CRUZ COUNTY IN AND NEAR SANTA CRUZ FROM NORTH APTOS UNDERPASS TO JUNCTION ROUTE 9. |
| QA Service Level | 1 (Verified on 02/14/2019) |
Owner Lab
- CT D05 - San Luis Obispo District Laboratory
Sample Information
| Sample Taken Date | 01/30/2020 | Sample Unique Key | 44 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 02/18/2020 | Sample type | Verification |
| A brief description of the sample | 1 Quart Can | The quantity of what the sample constitutes | JMF Renewal |
| From where was the sample collected | Job Site | First name of sampler or witnessed by | Anthony |
| Last name of sampler or witnessed by | Romiza | Title of sampler | |
| Telephone number of sampler | Laboratory sample identification | ||
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Valerio Benicia | |
| Transportation Laboratory (TL) Number | Inspector Lot Number from the Transportation Laboratory (TL) Form | ||
| Structure unique identifier | Structure name | ||
| Bid Item | Not set |
Material Information
| Material Type | Asphalt Binder | Performance Grade | 64-10 |
|---|---|---|---|
| Modified | Lot number | Not set | |
| Sublot number | Not set | Tank number | Not set |
| Time of sample | Not set | HMA Supplier | Not set |
| Certified Asphalt Supplier | Not set | Multigrade | Not set |
| Multigrade Type | Not set | Asphalt Binder Mix Number | Not set |
| HMA Type | Not set | HMA Supplier Mix ID Number | Not set |
JMF Information
| Verification ID | JMF3513-2020-99 | Date Created | 03/13/2020 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-173-2020-143 | JMF Status | Submittal Authorized For Use |
| Producer Mix ID | 1230 | Authorized Date | 03/13/2020 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||