Sample Record

DIME Sample ID 2020-08-26-18

Project Information

Project IdentifiersProject ID: 214591
DEA: 051M2704
EFIS: 0519000089
DIST-CO-RTE-PM05-SB-150-0.0/2.2
Award Date02/14/2020
Closeout Date08/23/2021
Work DescriptionRHMA OVERLAY, FULL WIDTH SEGMENT CORRECTION AND COLD PLANE AC.
Location DescriptionSANTA BARBARA COUNTY IN AND NEAR CARPINTERIA FROM ROUTE 101/150 SEPARATION TO VENTURA COUNTY LINE
QA Service Level1 (Verified on 05/29/2020)

Owner Lab

  • CT D05 - San Luis Obispo District Laboratory

Sample Information

Sample Taken Date08/26/2020 Sample Unique Key18
Date that the sample was received by the laboratory/organization performing the testing08/31/2020 Sample typeVerification
A brief description of the sampleQuart Can ARB The quantity of what the sample constitutesOne JMF Verification
From where was the sample collectedManufacturer First name of sampler or witnessed byDarren
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 nameVulcan
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 IDJMF3513-2020-199 Date Created09/04/2020
JMF Submittal IDJMF3511-173-2020-285 JMF StatusSubmittal Rejected For Use
Producer Mix ID326123SATVLO Rejected Date09/04/2020

Submitted Tests

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