Sample Record
Owner Lab
- CT D05 - San Luis Obispo District Laboratory
DIME Sample ID 2020-03-23-7
Sample Details QR Code
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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 | 03/23/2020 | Sample Unique Key | 7 |
|---|---|---|---|
| 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 | 03/25/2020 |
| Sample type | Verification | A brief description of the sample | Two Quart Cans |
| The quantity of what the sample constitutes | One JMF Verification | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Anthony | Last name of sampler or witnessed by | Romiza |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Valero | 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 |
| Certified Asphalt Supplier | Not set | Multigrade | Not set |
| Multigrade Type | Not set | Asphalt Binder Mix Number | Not set |
JMF Information
| Verification ID | JMF3513-2020-107 | Date Created | 04/09/2020 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-173-2020-151 | JMF Status | Submittal Authorized For Use |
| Producer Mix ID | 20_3598 | 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 |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||