Sample Record
Owner Labs
- BSK Associates
- CT D04 - Hayward DME / District Laboratory
DIME Sample ID 2020-07-24-34
Project Information
| Project Identifiers | Project ID: 214289 EFIS: 0000001157 Permit Numbers: 0514NMC0478 0519NRT0383 0519NRT0001 0519NRD0572 |
|---|---|
| DIST-CO-RTE-PM | 05---6.9 |
| Award Date | 01/05/2018 |
| Closeout Date | 08/23/2021 |
| Work Description | Reference Permit #0514-NMC-0478 on all correspondence. Note #0519-NRT-0383 is just a time extension for the original permit. Work Desc: Widen Blosser Road to provide a right turn lane for the northbound approach to West Main Street (State Route 166). |
| Location Description | W. Main Street (Hwy 166), Santa Maria |
| QA Service Level | 1 (Verified on 08/07/2019) |
Sample Information
| Sample Taken Date | 07/24/2020 | Sample Unique Key | 34 |
|---|---|---|---|
| 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 | 07/24/2020 |
| Sample type | Verification | A brief description of the sample | RAP for 1/2" HMA |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Syd | Last name of sampler or witnessed by | Valeh |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Dutra | 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 | Reclaimed Asphalt Pavement | RAP Source | San Rafael Quarry |
|---|---|---|---|
| Aggregate Size | Aggregate Source | ||
| RAP Stockpile | Stockpile Size (tons) | ||
| Reclaimed Asphalt Pavement Mix Number | Not set |
JMF Information
| Verification ID | JMF3513-2020-182 | Date Created | 08/11/2020 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-318-2020-264 | JMF Status | Submittal Accepted for Verification |
| Producer Mix ID | L200183 | Authorized Date | N/A |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-07-24-34-1 AASHTO T209-12 (Verified)
DIME Test ID: 2020-07-24-34-2 AASHTO T30-19 (Verified)
DIME Test ID: 2020-07-24-34-3 AASHTO T308-10 (Verified)
DIME Test ID: 2020-07-24-34-4 AASHTO T209-12 (Verified)
