Sample Record
Owner Lab
- CT D05 - San Luis Obispo District Laboratory
DIME Sample ID 2020-04-09-9
Project Information
| Project Identifiers | Project ID: 213579 DEA: 051C2504 EFIS: 0512000107 |
|---|---|
| DIST-CO-RTE-PM | 05-MON-68-1.6/L4.1 |
| Award Date | 02/19/2019 |
| Closeout Date | 08/23/2021 |
| Work Description | SHOULDER WIDENING, RUMBLE STRIPS, STRIPING, AND UPGRADE GUARDRAIL. |
| Location Description | MONTEREY 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 Level | 1 (Verified on 09/06/2019) |
Sample Information
| Sample Taken Date | 04/09/2020 | Sample Unique Key | 9 |
|---|---|---|---|
| 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 | 04/09/2020 |
| Sample type | Verification | A brief description of the sample | Lab mixed HMA |
| The quantity of what the sample constitutes | Lab mix for OGFC | From where was the sample collected | Other |
| First name of sampler or witnessed by | NA | Last name of sampler or witnessed by | NA |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | D5 Lab | 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 | Hot Mix Asphalt | HMA Type | OGFC |
|---|---|---|---|
| HMA Grading | 1/2 inch | Lot number | |
| Sublot number | HMA Mix Number | Not set | |
| Binder content (%) | Not set | Virgin binder PG | Not set |
| Design binder PG | Not set | Binder Supplier | Not set |
| RAP content (%) | Not set | WMA Additives | Not set |
| Antistrip type | Not set |
JMF Information
| Verification ID | JMF3513-2020-107 | Date Created | 04/09/2020 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-173-2020-151 | JMF Status | Submittal Authorized For Use |
| Producer Mix ID | 20_3598 | Authorized Date | 04/09/2020 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-04-09-9-1 CTM 368-November 2010 (Verified)
