Sample Record
Owner Lab
- CT D05 - San Luis Obispo District Laboratory
DIME Sample ID 2020-06-15-9
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 212899 DEA: 051C6704 EFIS: 0512000194 |
|---|---|
| DIST-CO-RTE-PM | 05-SCR-17-0.2-0.5 |
| Award Date | 02/08/2019 |
| Closeout Date | 09/23/2022 |
| Work Description | PASATIEMPO RETAINING WALL - |
| Location Description | IN SANTA CRUZ FROM 0.5 MILE TO 0.3 MILES SOUTH OF PASATIEMPO OVERCROSSING |
| QA Service Level | 1 (Verified on 04/01/2019) |
Sample Information
| Sample Taken Date | 06/15/2020 | Sample Unique Key | 9 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 06/15/2020 |
| Sample type | Verification | A brief description of the sample | Lab Mix for CTM 368 |
| The quantity of what the sample constitutes | Lab Mix | From where was the sample collected | Other |
| First name of sampler or witnessed by | Danilo | Last name of sampler or witnessed by | Ramirez |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Made in 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 | Unknown |
| Sublot number | Unknown | 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 | JMF3513-2020-142 | Date Created | 06/17/2020 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-173-2020-215 | JMF Status | Submittal Authorized For Use |
| Producer Mix ID | 963 | Authorized Date | 06/17/2020 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-06-15-9-1 CTM 368-November 2010 (Verified)
DIME Test ID: 2020-06-15-9-2 AASHTO T308-10 (Verified)
