Sample Record
Owner Lab
- CT D05 - San Luis Obispo District Laboratory
DIME Sample ID 2020-04-08-5
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 214424 DEA: 051F6304 EFIS: 0514000040 |
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DIST-CO-RTE-PM | 05-SLO-41-14.2/15.9 |
Award Date | 12/12/2019 |
Closeout Date | 09/23/2022 |
Work Description | ROUTE 41 ATASCADERO ADA PROJECT; CONSTRUCT ADA PATHWAYS AND RAMPS, DRAINAGE SYSTEMS AND SIGNALS. |
Location Description | SAN LUIS OBISPO COUNTY IN ATASCADERO FROM SAN GABRIEL ROAD TO ROUTE 101/41 SEPARATION |
QA Service Level | 1 (Verified on 09/30/2019) |
Sample Information
Sample Taken Date | 04/08/2020 | Sample Unique Key | 5 |
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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 | 04/08/2020 |
Sample type | Verification | A brief description of the sample | One JMF verification |
The quantity of what the sample constitutes | 9 bags aggregate | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Daniel | Last name of sampler or witnessed by | Ortega |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | CalPortland Paso Robles | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-40-0013 |
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The fabricator's/manufacturer's product name for the sample | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
The plant number | Unknown | A detailed description of where the material sample was collected | At the plant |
Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 1/2 inch |
The concrete mix design number | Unknown | Lot number | Unknown |
Sublot number | Unknown | Aggregate Mix Number | Not set |
JMF Information
Verification ID | JMF3513-2020-111 | Date Created | 04/24/2020 |
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JMF Submittal ID | JMF3511-173-2020-155 | JMF Status | Submittal Authorized For Use |
Producer Mix ID | A2114I030 | Authorized Date | 04/24/2020 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2020-04-08-5-1 AASHTO T96-02r10 (Verified)
DIME Test ID: 2020-04-08-5-2 AASHTO T27-14 (Verified)
DIME Test ID: 2020-04-08-5-3 AASHTO T27-14 (Verified)
DIME Test ID: 2020-04-08-5-4 AASHTO T335-09r13 (Verified)