Sample Record

DIME Sample ID 2020-02-24-47

Project Information

Project IdentifiersProject ID: 213733
DEA: 051C85U4
EFIS: 0518000156
DIST-CO-RTE-PM05-SCR-1-10.2/17.5
Award Date02/19/2019
Closeout Date11/15/2021
Work DescriptionSanta Cruz 1 CAPM and Bridge Rails
Location DescriptionSANTA CRUZ COUNTY IN AND NEAR SANTA CRUZ FROM NORTH APTOS UNDERPASS TO JUNCTION ROUTE 9.
QA Service Level1 (Verified on 02/14/2019)

Owner Lab

  • CT D05 - San Luis Obispo District Laboratory

Sample Information

Sample Taken Date02/24/2020 Sample Unique Key47
Date that the sample was received by the laboratory/organization performing the testing04/09/2020 Sample typeVerification
A brief description of the sampleOne quart binder The quantity of what the sample constitutesOne JMF Verification
From where was the sample collectedOther 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 nameSan Joaquin Refinery
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 IDJMF3513-2020-113 Date Created04/24/2020
JMF Submittal IDJMF3511-173-2020-159 JMF StatusSubmittal Authorized For Use
Producer Mix ID20_1230 Authorized Date04/24/2020

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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