Sample Record
Owner Lab
- CT D05 - San Luis Obispo District Laboratory
DIME Sample ID 2020-04-16-11
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 214424 DEA: 051F6304 EFIS: 0514000040 |
|---|---|
| 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 | 04/16/2020 | Sample Unique Key | 11 |
|---|---|---|---|
| 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 | Not set |
| Sample type | Verification | A brief description of the sample | Lab Mix |
| The quantity of what the sample constitutes | Lab mix for CTM 368 | From where was the sample collected | Other |
| First name of sampler or witnessed by | does not apply | Last name of sampler or witnessed by | does not apply |
| 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 | |
| Sublot number | HMA Mix Number | Not set |
JMF Information
| Verification ID | JMF3513-2020-111 | Date Created | 04/24/2020 |
|---|---|---|---|
| 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 |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-04-16-11-1 CTM 368-November 2010 (Verified)