Sample Record
Owner Lab
- CT D05 - San Luis Obispo District Laboratory
DIME Sample ID 2020-03-03-26
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 213942 DEA: 051F7004 EFIS: 0514000055 |
|---|---|
| DIST-CO-RTE-PM | 05-MON-101-73.1/87.3 |
| Award Date | 05/14/2019 |
| Closeout Date | 08/23/2021 |
| Work Description | REPLACE CONCRETE PANEL AND RESURFACE HMA PAVEMENT. |
| Location Description | MONTEREY COUNTY NEAR CHUALAR FROM 0.5 MILE NORTH OF NORTH GONZALES OVERCROSSING TO EAST MARKET STREET UNDERCROSSING |
| QA Service Level | 1 (Verified on 07/10/2019) |
Sample Information
| Sample Taken Date | 03/03/2020 | Sample Unique Key | 26 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | Not set |
| Sample type | Verification | A brief description of the sample | One JMF Renewal |
| The quantity of what the sample constitutes | One JMF Renewal | From where was the sample collected | Manufacturer |
| 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 | Graniterock Aromas Drum | 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 | Antistrip Additive | Antistrip Type | LAS - liquid antistrip |
|---|---|---|---|
| Antistrip Additive Mix Number | Not set |
JMF Information
| Verification ID | JMF3513-2020-102 | Date Created | 04/02/2020 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-173-2020-146 | JMF Status | Submittal Authorized For Use |
| Producer Mix ID | 937 | Authorized Date | 04/02/2020 |
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. | |||