Sample Record

Owner Lab

  • CT D05 - San Luis Obispo District Laboratory

DIME Sample ID 2020-03-23-8

Project Information

Project IdentifiersProject ID: 213579
DEA: 051C2504
EFIS: 0512000107
DIST-CO-RTE-PM05-MON-68-1.6/L4.1
Award Date02/19/2019
Closeout Date08/23/2021
Work DescriptionSHOULDER WIDENING, RUMBLE STRIPS, STRIPING, AND UPGRADE GUARDRAIL.
Location DescriptionMONTEREY COUNTY IN AND NEAR MONTEREY AT VARIOUS LOCATIONS FROM 0.1 MILE EAST OF PIEDMONT AVENUE TO 0.1 MILE EAST OF SCENIC DRIVE OVERCROSSING
QA Service Level1 (Verified on 09/06/2019)

Sample Information

Sample Taken Date03/23/2020 Sample Unique Key8
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 testingNot set
Sample typeVerification A brief description of the sampleOne Pint Can
The quantity of what the sample constitutesOne JMF verification From where was the sample collectedJob Site
First name of sampler or witnessed byAnthony Last name of sampler or witnessed byRomiza
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameMeadwest Vaco Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeWarm Mix Asphalt Technology Warm Mix Asphalt Technology TypeAdditive Technology
Warm Mix Asphalt Technology Product Name WMA Mix NumberNot set

JMF Information

Verification IDJMF3513-2020-107 Date Created04/09/2020
JMF Submittal IDJMF3511-173-2020-151 JMF StatusSubmittal Authorized For Use
Producer Mix ID20_3598 Authorized Date04/09/2020

Submitted Tests

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