DIME - Sample Record for DIME Sample ID 2020-04-09-3

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Sample Record

Owner Lab

CT D05 - San Luis Obispo District Laboratory

DIME Sample ID 2020-04-09-3

Sample is locked from editing. info

Project Information

Project Identifiers	Project ID: 213579 DEA: 051C2504 EFIS: 0512000107
DIST-CO-RTE-PM	05-MON-68-1.6/L4.1
Award Date	02/19/2019
Closeout Date	08/23/2021
Work Description	SHOULDER WIDENING, RUMBLE STRIPS, STRIPING, AND UPGRADE GUARDRAIL.
Location Description	MONTEREY COUNTY IN AND NEAR MONTEREY AT VARIOUS LOCATIONS FROM 0.1 MILE EAST OF PIEDMONT AVENUE TO 0.1 MILE EAST OF SCENIC DRIVE OVERCROSSING
QA Service Level	1 (Verified on 09/06/2019)

Sample Information

Sample Taken Date	04/09/2020	Sample Unique Key	3
Will the laboratory/organization for which you are a member perform testing on this material sample?	Yes	Date that the sample was received by the laboratory/organization performing the testing	04/09/2020
Sample type	Verification	A brief description of the sample	Made by D5 Lab
The quantity of what the sample constitutes	Lab mix for OGFC	From where was the sample collected	Other
First name of sampler or witnessed by	NA	Last name of sampler or witnessed by	NA
Title of sampler		Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	D5 Lab	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name

Material Information

Material Type	Hot Mix Asphalt	HMA Type	OGFC
HMA Grading	1/2 inch	Lot number	Unknown
Sublot number	Unknown	HMA Mix Number	Not set

JMF Information

Verification ID	JMF3513-2020-106	Date Created	04/09/2020
JMF Submittal ID	JMF3511-173-2020-150	JMF Status	Submittal Authorized For Use
Producer Mix ID	20_1048	Authorized Date	04/09/2020

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date	Test Comments	Actions
2020-04-09-3-1	CTM 368-November 2010: Method of Test for Optimum Bitumen Content (OBC) for Open Graded Asphalt Concrete	E. Atkins, CT D05 - San Luis Obispo District Laboratory	04/09/2020	Daniel Gingras	Yes	04/09/2020

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2020-04-09-3-1 CTM 368-November 2010 (Verified)