Sample Record

Owner Lab

  • CT D05 - San Luis Obispo District Laboratory

DIME Sample ID 2020-05-04-19

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213884
DEA: 051F1004
EFIS: 0513000057
Permit Numbers: 0519NOP0704 0520NDP0091
DIST-CO-RTE-PM05---82.18/-1
Award Date01/07/2020
Closeout Date08/17/2022
Work DescriptionRe-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 DescriptionUS Highway 101, Orcutt unincorporated
QA Service Level1 (Verified on 02/18/2020)

Sample Information

Sample Taken Date05/04/2020 Sample Unique Key19
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 testing05/07/2020
Sample typeVerification A brief description of the sampleBags of Lime Treated Hotbins
The quantity of what the sample constitutesOne JMF Verification From where was the sample collectedManufacturer
First name of sampler or witnessed bySal Last name of sampler or witnessed byLopez
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Buellton Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-42-0014
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedAt the Plant
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/4 inch
The concrete mix design numberUnknown Lot numberUnknown
Sublot numberUnknown Aggregate Mix NumberNot set

JMF Information

Verification IDJMF3513-2020-120 Date Created05/12/2020
JMF Submittal IDJMF3511-173-2020-185 JMF StatusSubmittal Authorized For Use
Producer Mix ID1558 Authorized Date05/13/2020

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-05-04-19-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Daniel Gingras, CT D05 - San Luis Obispo District Laboratory05/08/2020Daniel Gingras
Yes
05/13/2020

Sample File Attachments

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Test File Attachments


DIME Test ID: 2020-05-04-19-1 AASHTO T27-14 (Verified)