Sample Record

Owner Lab

  • CT D05 - San Luis Obispo District Laboratory

DIME Sample ID 2019-08-16-17

Project Information

Project Identifiers
DEA: No Project
DIST-CO-RTE-PM---
Award DateNot set
Closeout Date11/01/2022
Work DescriptionSpecial project identifier for material not associated with a project
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date08/16/2019 Sample Unique Key17
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 testing08/23/2019
Sample typeVerification A brief description of the sampleAggregate, Loose Mix, Asphalt, LAS, RAP
The quantity of what the sample constitutesOne JMF Verification From where was the sample collectedOther
First name of sampler or witnessed byTom Last name of sampler or witnessed byChromwell
Title of samplerMNS Consultant Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility namePapich Paso Robles Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 64-10
Modified Lot numberNot set
Sublot numberNot set Tank numberNot set
Time of sampleNot set HMA SupplierNot set
Certified Asphalt SupplierNot set MultigradeNot set
Multigrade TypeNot set Asphalt Binder Mix NumberNot set

JMF Information

Verification IDJMF3513-2019-77 Date Created09/26/2019
JMF Submittal IDJMF3511-208-2019-112 JMF StatusSubmittal Accepted for Verification
Producer Mix IDTEM12SPLA Authorized DateN/A

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments