Sample Record

DIME Sample ID 2020-06-29-22

Project Information

Project IdentifiersProject ID: 214731
DEA: 051M0004
EFIS: 0519000047
DIST-CO-RTE-PM05-SLO-101-16.5/R21.5
Award Date04/22/2020
Closeout Date08/23/2021
Work DescriptionCOLD PLANE AND RHMA-GAP GRADED OVERLAY ON EXISTING ROADWAY.
Location DescriptionSAN LUIS OBISPO COUNTY IN AND NEAR PISMO BEACH FROM 0.1 MILE SOUTH OF PRICE CANYON ROAD TO SAN LUIS CREEK BRIDGE
QA Service Level1 (Verified on 05/29/2020)

Owner Lab

  • CT D05 - San Luis Obispo District Laboratory

Sample Information

Sample Taken Date06/29/2020 Sample Unique Key22
Date that the sample was received by the laboratory/organization performing the testing06/29/2020 Sample typeVerification
A brief description of the sampleQuart can of ARB 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 nameFNF Avenal
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 Rubber Binder Asphalt modifier supplier
Performance GradeNot set Lot numberNot set
Sublot numberNot set Asphalt Rubber Binder Mix NumberNot set

JMF Information

Verification IDJMF3513-2020-150 Date Created07/02/2020
JMF Submittal IDJMF3511-173-2020-225 JMF StatusSubmittal Rejected For Use
Producer Mix IDTEM12RGLM Rejected Date07/02/2020

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