Sample Record
Owner Lab
- CT D05 - San Luis Obispo District Laboratory
DIME Sample ID 2020-06-29-22
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214731 DEA: 051M0004 EFIS: 0519000047 |
|---|---|
| DIST-CO-RTE-PM | 05-SLO-101-16.5/R21.5 |
| Award Date | 04/22/2020 |
| Closeout Date | 08/23/2021 |
| Work Description | COLD PLANE AND RHMA-GAP GRADED OVERLAY ON EXISTING ROADWAY. |
| Location Description | SAN LUIS OBISPO COUNTY IN AND NEAR PISMO BEACH FROM 0.1 MILE SOUTH OF PRICE CANYON ROAD TO SAN LUIS CREEK BRIDGE |
| QA Service Level | 1 (Verified on 05/29/2020) |
Sample Information
| Sample Taken Date | 06/29/2020 | Sample Unique Key | 22 |
|---|---|---|---|
| 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 | 06/29/2020 |
| Sample type | Verification | A brief description of the sample | Quart can of ARB |
| 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 | FNF Avenal | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphalt Rubber Binder | Asphalt modifier supplier | |
|---|---|---|---|
| Performance Grade | Not set | Lot number | Not set |
| Sublot number | Not set | Asphalt Rubber Binder Mix Number | Not set |
JMF Information
| Verification ID | JMF3513-2020-150 | Date Created | 07/02/2020 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-173-2020-225 | JMF Status | Submittal Rejected For Use |
| Producer Mix ID | TEM12RGLM | Rejected Date | 07/02/2020 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||