Sample Record
Owner Lab
- CT D05 - San Luis Obispo District Laboratory
DIME Sample ID 2020-07-15-9
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214732 DEA: 051M5004 EFIS: 0519000166 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-166-0.2/6.9 |
| Award Date | 04/17/2020 |
| Closeout Date | 10/29/2020 |
| Work Description | COLD PLANE EXISTING ROADWAY AND PLACE RHMA-G. |
| Location Description | SANTA BARBARA COUNTY IN AND NEAR GUADALUPE AND SANTA MARIA FROM OBISPO STREET TO BLOSSER ROAD |
| QA Service Level | 1 (Verified on 05/29/2020) |
Sample Information
| Sample Taken Date | 07/15/2020 | Sample Unique Key | 9 |
|---|---|---|---|
| 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 | 07/14/2020 |
| Sample type | Verification | A brief description of the sample | Quart can of ARB |
| The quantity of what the sample constitutes | One JMF Renewal | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Not | Last name of sampler or witnessed by | Given |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | World Oil | 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 | PG 64-16 | Lot number | 1 |
| Sublot number | 20 | Asphalt Rubber Binder Mix Number | Not set |
JMF Information
| Verification ID | JMF3513-2020-159 | Date Created | 07/15/2020 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-173-2020-234 | JMF Status | Submittal Authorized For Use |
| Producer Mix ID | D2214H830 | Authorized Date | 07/15/2020 |
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. | |||