Sample Record

Owner Lab

  • CT D05 - Field Laboratory

DIME Sample ID 2020-04-16-11

Project Information

Project IdentifiersProject ID: 214424
DEA: 051F6304
EFIS: 0514000040
DIST-CO-RTE-PM05-SLO-41-14.2/15.9
Award Date12/12/2019
Closeout DateNot set
Work DescriptionROUTE 41 ATASCADERO ADA PROJECT; CONSTRUCT ADA PATHWAYS AND RAMPS, DRAINAGE SYSTEMS AND SIGNALS.
Location DescriptionSAN LUIS OBISPO COUNTY IN ATASCADERO FROM SAN GABRIEL ROAD TO ROUTE 101/41 SEPARATION
QA Service Level1 (Verified on 09/30/2019)

Sample Information

Sample Taken Date04/16/2020 Sample Unique Key11
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 sampleLab Mix
The quantity of what the sample constitutesLab mix for CTM 368 From where was the sample collectedOther
First name of sampler or witnessed bydoes not apply Last name of sampler or witnessed bydoes not apply
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameD5 Lab 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 TypeOGFC
HMA Grading1/2 inch Lot number
Sublot number JMF Verification ID JMF3513-2020-111

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-04-16-11-1CTM 368-November 2010: Method of Test for Optimum Bitumen Content (OBC) for Open Graded Asphalt ConcreteD. RamirezCT D05 - Field Laboratory04/16/2020Daniel Gingras
Yes
04/24/20205.58 DWAx1.4, converted to TWM, rounded to 7.20 TWM