Sample Record

DIME Sample ID 2020-09-10-10

Project Information

Project IdentifiersProject ID: 214605
DEA: 051K7904
EFIS: 0519000026
DIST-CO-RTE-PM05-SB-166-R51.1/55.0
Award Date02/26/2020
Closeout Date08/23/2021
Work DescriptionCOLD IN-PLACE RECYCLING AND RHMA OVERLAY.
Location DescriptionSANTA BARBARA COUNTY ABOUT 10 MILES WEST OF NEW CUYAMA FROM CUYAMA RIVER BRIDGE TO 3.1 MILES EAST OF COTTONWOOD CANYON ROAD
QA Service Level1 (Verified on 04/08/2020)

Owner Lab

  • CT D05 - San Luis Obispo District Laboratory

Sample Information

Sample Taken Date09/10/2020 Sample Unique Key10
Date that the sample was received by the laboratory/organization performing the testing09/15/2020 Sample typeVerification
A brief description of the sampleQuart Can ARB The quantity of what the sample constitutesOne JMF Renewal
From where was the sample collectedManufacturer First name of sampler or witnessed byMark
Last name of sampler or witnessed byBennet Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameNational Blending Company
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 IDJMF3513-2020-203 Date Created09/18/2020
JMF Submittal IDJMF3511-173-2020-289 JMF StatusSubmittal Authorized For Use
Producer Mix IDD1214H630 Authorized Date09/18/2020

Submitted Tests

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