Sample Record

Owner Lab

  • CT D05 - San Luis Obispo District Laboratory

DIME Sample ID 2020-03-03-25

Project Information

Project IdentifiersProject ID: 213942
DEA: 051F7004
EFIS: 0514000055
DIST-CO-RTE-PM05-MON-101-73.1/87.3
Award Date05/14/2019
Closeout Date08/23/2021
Work DescriptionREPLACE CONCRETE PANEL AND RESURFACE HMA PAVEMENT.
Location DescriptionMONTEREY COUNTY NEAR CHUALAR FROM 0.5 MILE NORTH OF NORTH GONZALES OVERCROSSING TO EAST MARKET STREET UNDERCROSSING
QA Service Level1 (Verified on 07/10/2019)

Sample Information

Sample Taken Date03/03/2020 Sample Unique Key25
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 testingNot set
Sample typeVerification A brief description of the sampleOne JMF Renewal
The quantity of what the sample constitutesOne JMF Renewal From where was the sample collectedManufacturer
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 nameGraniterock Aromas Drum Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance Grade64-10
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 IDJMF3513-2020-102 Date Created04/02/2020
JMF Submittal IDJMF3511-173-2020-146 JMF StatusSubmittal Authorized For Use
Producer Mix ID937 Authorized Date04/02/2020

Submitted Tests

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

File NameExtensionDate UploadedActions
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Test File Attachments