Sample Record
Owner Lab
- CT D05 - San Luis Obispo District Laboratory
DIME Sample ID 2020-04-02-16
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214520 DEA: 051H9804 EFIS: 0517000043 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-101-78.4/79.0 |
| Award Date | 01/08/2020 |
| Closeout Date | 09/25/2020 |
| Work Description | ROADWAY EXCAVATION, PLACE AGGREGATE BASE, HMA AND RHMA-G. |
| Location Description | SANTA BARBARA COUNTY NEAR SANTA MARIA FROM 0.3 MILE SOUTH TO 0.3 MILE NORTH OF SOLOMON SUMMIT UNDERCROSSING |
| QA Service Level | 1 (Verified on 02/20/2020) |
Sample Information
| Sample Taken Date | 04/02/2020 | Sample Unique Key | 16 |
|---|---|---|---|
| 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 | 04/03/2020 |
| Sample type | Verification | A brief description of the sample | 2 quart cans |
| The quantity of what the sample constitutes | One JMF Verification | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Sal | Last name of sampler or witnessed by | Lopez |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CalPortland Garey | 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 |
JMF Information
| Verification ID | JMF3513-2020-110 | Date Created | 04/20/2020 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-173-2020-154 | JMF Status | Submittal Authorized For Use |
| Producer Mix ID | D2381F915 | Authorized Date | 04/20/2020 |
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. | |||