Sample Record

Owner Lab

  • CalPortland

DIME Sample ID 2020-04-01-10

Project Information

Project IdentifiersProject ID: 214253
DEA: 051J0404
EFIS: 0517000054
DIST-CO-RTE-PM05-SLO,MON-46,101-49.5,R3.1/R5.2
Award Date11/01/2019
Closeout Date09/25/2020
Work DescriptionINSTALL ELECTRIC VEHICLE CHARGING STATIONS.
Location DescriptionSAN LUIS OBISPO AND MONTEREY COUNTIES ON ROUTE 46 AT SHANDON SAFETY ROADSIDE REST AREA AND ON ROUTE 101 AT CAMP ROBERTS SAFETY ROADSIDE REST AREAS
QA Service Level1 (Verified on 09/06/2019)

Sample Information

Sample Taken Date04/01/2020 Sample Unique Key10
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 testing04/01/2020
Sample typeQuality Control A brief description of the sampleHMA Lab Batch - Mix Design
The quantity of what the sample constitutes16 kgs of HMA From where was the sample collectedOther
First name of sampler or witnessed byDaniel Last name of sampler or witnessed byOrtega
Title of sampler Telephone number of sampler8053453425
Laboratory sample identification1332010353 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCalPortland Santa Maria Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading1/2 inch Lot numberUnknown
Sublot numberUnknown HMA Mix NumberNot set

JMF Information

HMA Design IDJMF3512-2020-185-G2383F515 Date Created04/09/2020
SubmittalN/A

Submitted Tests

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