Sample Record

DIME Sample ID 2020-08-14-33

Project Information

Project IdentifiersProject ID: 214658
DEA: 051K7104
EFIS: 0518000232
DIST-CO-RTE-PM05-SLO-46,101-var
Award Date04/28/2020
Closeout Date08/23/2021
Work DescriptionPLACE METHACRYLATE DECK SEAL, POLYESTER CONCRETE OVERLAY, JOINT SEALS
Location DescriptionSAN LUIS OBISPO COUNTY IN AND NEAR PASO ROBLES AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 02/20/2020)

Owner Lab

  • CT D05 - San Luis Obispo District Laboratory

Sample Information

Sample Taken Date08/14/2020 Sample Unique Key33
Date that the sample was received by the laboratory/organization performing the testing09/09/2020 Sample typeVerification
A brief description of the sampleQuart of Asphalt Binder The quantity of what the sample constitutesOne JMF Verification
From where was the sample collectedJob Site First name of sampler or witnessed byMike
Last name of sampler or witnessed bySavage Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameSan Joaquin Refinery
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 64-10
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 IDJMF3513-2020-204 Date Created09/25/2020
JMF Submittal IDJMF3511-173-2020-290 JMF StatusSubmittal Authorized For Use
Producer Mix IDTEM34SPWM Authorized Date09/25/2020

Submitted Tests

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