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 |
|---|---|
| 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 |
|---|---|---|---|
| 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 |
|---|---|---|---|
| Modified | No | Lot number | Not set |
| Sublot number | Not set | Tank number | Not set |
| Time of sample | Not set | HMA Supplier | Not set |
| Asphalt Binder 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 |
|---|---|---|---|
| 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 |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||