Sample Record
Owner Lab
- CT D05 - San Luis Obispo District Laboratory
DIME Sample ID 2020-02-24-47
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 213733 DEA: 051C85U4 EFIS: 0518000156 |
|---|---|
| DIST-CO-RTE-PM | 05-SCR-1-10.2/17.5 |
| Award Date | 02/19/2019 |
| Closeout Date | 11/15/2021 |
| Work Description | Santa Cruz 1 CAPM and Bridge Rails |
| Location Description | SANTA CRUZ COUNTY IN AND NEAR SANTA CRUZ FROM NORTH APTOS UNDERPASS TO JUNCTION ROUTE 9. |
| QA Service Level | 1 (Verified on 02/14/2019) |
Sample Information
| Sample Taken Date | 02/24/2020 | Sample Unique Key | 47 |
|---|---|---|---|
| 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 | One quart binder |
| The quantity of what the sample constitutes | One JMF Verification | From where was the sample collected | Other |
| First name of sampler or witnessed by | Anthony | Last name of sampler or witnessed by | Romiza |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | San Joaquin Refinery | 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 | JMF3513-2020-113 | Date Created | 04/24/2020 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-173-2020-159 | JMF Status | Submittal Authorized For Use |
| Producer Mix ID | 20_1230 | Authorized Date | 04/24/2020 |
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. | |||