Sample Record

DIME Sample ID 2020-07-24-19

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 Date07/24/2020 Sample Unique Key19
Date that the sample was received by the laboratory/organization performing the testingNot set 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 collectedJob Site 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 Templeton
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 GradePG 64-16 Lot number
Sublot number Asphalt Rubber Binder Mix NumberNot set

JMF Information

Verification IDJMF3513-2020-171 Date Created07/31/2020
JMF Submittal IDJMF3511-173-2020-250 JMF StatusSubmittal Rejected For Use
Producer Mix IDTEM12RGLM20 Rejected Date07/31/2020

Submitted Tests

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