Sample Record

DIME Sample ID 2020-08-19-26

Project Information

Project IdentifiersProject ID: 214756
DEA: 050N7AU4
EFIS: 0520000030
DIST-CO-RTE-PM05-SB-101-1.4/4.8
Award DateNot set
Closeout Date09/27/2022
Work DescriptionSegment 4A - Carpinteria: Construct HOV lanes and rehabilitation. Source inspection of sign structure trusses, lighting structures, epoxy coated rebar, precast box culverts, precast RCP.
Location DescriptionCARPINTERIA FROM 0.2 MILE SOUTH OF BAILARD AVENUE OVERCROSSING TO 0.7 MILE SOUTH OF SOUTH PADARO LANE
QA Service Level1 (Verified on 03/09/2020)

Owner Lab

  • CT D05 - San Luis Obispo District Laboratory

Sample Information

Sample Taken Date08/19/2020 Sample Unique Key26
Date that the sample was received by the laboratory/organization performing the testing08/21/2020 Sample typeVerification
A brief description of the sampleOne Quart Can Binder The quantity of what the sample constitutesOne JMF Verification
From where was the sample collectedJob Site First name of sampler or witnessed byD
Last name of sampler or witnessed byLaChaine Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameValero
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 Binder Performance GradePG 58-22
Modified Lot number
Sublot number Tank numberNot set
Time of sampleNot set HMA SupplierNot set
Certified Asphalt SupplierNot set MultigradeNot set
Multigrade TypeNot set Asphalt Binder Mix NumberNot set
HMA TypeNot set HMA Supplier Mix ID NumberNot set

JMF Information

Verification IDJMF3513-2020-196 Date Created09/01/2020
JMF Submittal IDJMF3511-173-2020-282 JMF StatusSubmittal Accepted for Verification
Producer Mix ID2265 Authorized DateN/A

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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