Sample Record
Owner Lab
- CT D05 - San Luis Obispo District Laboratory
DIME Sample ID 2020-01-30-19
Project Information
Project Identifiers | Project ID: 214634 DEA: 051M2404 EFIS: 0519000085 |
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DIST-CO-RTE-PM | 05-SB-101-21.8/22.0 |
Award Date | Not set |
Closeout Date | Not set |
Work Description | Goleta Cross Slope Correction |
Location Description | Not set |
QA Service Level | 1 (Verified on 02/20/2020) |
Sample Information
Sample Taken Date | 01/30/2020 | Sample Unique Key | 19 |
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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 | 01/31/2020 |
Sample type | Verification | A brief description of the sample | 1 Quart can |
The quantity of what the sample constitutes | Verification Testing | From where was the sample collected | Other |
First name of sampler or witnessed by | Sal | Last name of sampler or witnessed by | Zamora |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | D5 20-J-001 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | World Oil | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Asphalt Binder | Performance Grade | 64-10 |
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Modified | No | Lot number | Not set |
Sublot number | Not set | Tank number | Not set |
Time of sample | Not set | HMA Supplier | Not set |
Certified Asphalt Supplier | Not set | Multigrade | Not set |
Multigrade Type | Not set | Asphalt Binder Mix Number | Not set |
JMF Information
Verification ID | JMF3513-2020-93 | Date Created | 01/31/2020 |
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JMF Submittal ID | JMF3511-173-2020-136 | JMF Status | Submittal Authorized For Use |
Producer Mix ID | D1321F515 | Authorized Date | 02/20/2020 |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |