Sample Record

Owner Lab

  • CT D05 - San Luis Obispo District Laboratory

DIME Sample ID 2020-02-14-16

Project Information

Project IdentifiersProject ID: 213733
DEA: 051C85U4
EFIS: 0518000156
DIST-CO-RTE-PM05-SCR-1-10.2/17.5
Award Date02/19/2019
Closeout Date11/15/2021
Work DescriptionSanta Cruz 1 CAPM and Bridge Rails
Location DescriptionSANTA CRUZ COUNTY IN AND NEAR SANTA CRUZ FROM NORTH APTOS UNDERPASS TO JUNCTION ROUTE 9.
QA Service Level1 (Verified on 02/14/2019)

Sample Information

Sample Taken Date02/14/2020 Sample Unique Key16
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 testing03/04/2020
Sample typeVerification A brief description of the sampleQuart Can WMA
The quantity of what the sample constitutesOne JMF From where was the sample collectedJob Site
First name of sampler or witnessed byAnthony Last name of sampler or witnessed byRomiza
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Salinas Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeWarm Mix Asphalt Technology Warm Mix Asphalt Technology TypeAdditive Technology
Warm Mix Asphalt Technology Product Name WMA Mix NumberNot set

JMF Information

Verification IDJMF3513-2020-101 Date Created03/20/2020
JMF Submittal IDJMF3511-173-2020-145 JMF StatusSubmittal Authorized For Use
Producer Mix ID20_1580 Authorized Date03/20/2020

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Test File Attachments