Sample Record
Owner Lab
- CT D05 - San Luis Obispo District Laboratory
DIME Sample ID 2020-05-04-19
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Project Information
| Project Identifiers | Project ID: 213884 DEA: 051F1004 EFIS: 0513000057 Permit Numbers: 0519NOP0704 0520NDP0091 |
|---|---|
| DIST-CO-RTE-PM | 05---82.18/-1 |
| Award Date | 01/07/2020 |
| Closeout Date | 08/17/2022 |
| Work Description | Re-align on and off-ramps at NB interchange. Signalize the intersection, revise pavement delineation and markings on Clark Avenue, minor pavement rehabilitation, guardrail replacement and widening at southbound off-ramp.Construct interchange improvements at US Highway 101 and Clark Avenue accordin |
| Location Description | US Highway 101, Orcutt unincorporated |
| QA Service Level | 1 (Verified on 02/18/2020) |
Sample Information
| Sample Taken Date | 05/04/2020 | Sample Unique Key | 19 |
|---|---|---|---|
| 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 | 05/07/2020 |
| Sample type | Verification | A brief description of the sample | Bags of Lime Treated Hotbins |
| The quantity of what the sample constitutes | One JMF Verification | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Sal | Last name of sampler or witnessed by | Lopez |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Granite Buellton | 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) | 91-42-0014 |
|---|---|---|---|
| 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 | 3/4 inch |
| The concrete mix design number | Unknown | Lot number | Unknown |
| Sublot number | Unknown | Aggregate Mix Number | Not set |
JMF Information
| Verification ID | JMF3513-2020-120 | Date Created | 05/12/2020 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-173-2020-185 | JMF Status | Submittal Authorized For Use |
| Producer Mix ID | 1558 | Authorized Date | 05/13/2020 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-05-04-19-1 AASHTO T27-14 (Verified)