Sample Record
Owner Lab
- CT - Unassigned/General Field Laboratory
DIME Sample ID 2019-03-13-17
Project Information
Project Identifiers | Project ID: 66667 DEA: JMFPP EFIS: 0019000043 |
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DIST-CO-RTE-PM | 59--- |
Award Date | Not set |
Closeout Date | Not set |
Work Description | Special project for submitting Sample information for JMF Prequalification Program. |
Location Description | Not set |
QA Service Level | NOT VERIFIED |
Sample Information
Sample Taken Date | 03/13/2019 | Sample Unique Key | 17 |
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Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 03/27/2019 |
Sample type | Verification | A brief description of the sample | Bags of RAP |
The quantity of what the sample constitutes | 1 | From where was the sample collected | Other |
First name of sampler or witnessed by | Brent | Last name of sampler or witnessed by | Barber |
Title of sampler | Field Inspector | Telephone number of sampler | 805-441-0187 |
Laboratory sample identification | 19-J-015 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Papich Paso Robles | Transportation Laboratory (TL) Number | D5 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | N/A | Structure unique identifier | Not set |
Structure name | Not set |
Material Information
Material Type | Reclaimed Asphalt Pavement | RAP Source | Papich Paso Robles |
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Aggregate Size | 1/2 | Aggregate Source | Avenal |
RAP Stockpile | Continuous | Stockpile Size (tons) | Unknown |
JMF Verification ID | JMF3513-2019-54 |