Sample Record
Owner Lab
- CT D05 - San Luis Obispo District Laboratory
DIME Sample ID 2021-12-27-5
Project Information
| Project Identifiers | Project ID: 215753 DEA: 050N72U4 EFIS: 0520000169 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-101-4.4/R7.7 |
| Award Date | 03/01/2021 |
| Closeout Date | Not set |
| Work Description | Please cc Office Engineer Ni Nyoman Paul on reports sent to RE and SR. Construct High Occupancy Vehicle (HOV) lanes on U.S. Route 101 and rehabilitation - Segment 4B. |
| Location Description | 101 freeway in Summerland, CA |
| QA Service Level | 1 (Verified on 05/06/2021) |
Sample Information
| Sample Taken Date | 12/27/2021 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 12/30/2021 |
| Sample type | Quality Assurance | A brief description of the sample | Sample from Lot 1-1 |
| The quantity of what the sample constitutes | A sublot | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Tom | Last name of sampler or witnessed by | Cromwell |
| Title of sampler | Inspector | Telephone number of sampler | |
| Laboratory sample identification | D5 21-A-310 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Granite Santa Paula | 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 | Granite Santa Paula |
|---|---|---|---|
| Aggregate Size | Five Eighths Minus | Aggregate Source | |
| RAP Stockpile | Continuous | Stockpile Size (tons) | |
| Reclaimed Asphalt Pavement Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-12-27-5-1 AASHTO T30-19 (Verified)
