Sample Record

DIME Sample ID 2020-04-02-16

Project Information

Project IdentifiersProject ID: 214520
DEA: 051H9804
EFIS: 0517000043
DIST-CO-RTE-PM05-SB-101-78.4/79.0
Award Date01/08/2020
Closeout Date09/25/2020
Work DescriptionROADWAY EXCAVATION, PLACE AGGREGATE BASE, HMA AND RHMA-G.
Location DescriptionSANTA BARBARA COUNTY NEAR SANTA MARIA FROM 0.3 MILE SOUTH TO 0.3 MILE NORTH OF SOLOMON SUMMIT UNDERCROSSING
QA Service Level1 (Verified on 02/20/2020)

Owner Lab

  • CT D05 - San Luis Obispo District Laboratory

Sample Information

Sample Taken Date04/02/2020 Sample Unique Key16
Date that the sample was received by the laboratory/organization performing the testing04/03/2020 Sample typeVerification
A brief description of the sample2 quart cans The quantity of what the sample constitutesOne JMF Verification
From where was the sample collectedManufacturer First name of sampler or witnessed bySal
Last name of sampler or witnessed byLopez Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameCalPortland Garey
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 Grade64-10
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 IDJMF3513-2020-110 Date Created04/20/2020
JMF Submittal IDJMF3511-173-2020-154 JMF StatusSubmittal Authorized For Use
Producer Mix IDD2381F915 Authorized Date04/20/2020

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