Sample Record
Owner Lab
- CT D05 - San Luis Obispo District Laboratory
DIME Sample ID 2020-07-04-1
Project Information
Project Identifiers | Project ID: 214731 DEA: 051M0004 EFIS: 0519000047 |
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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 | 07/04/2020 | Sample Unique Key | 1 |
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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 | 08/05/2020 |
Sample type | Verification | A brief description of the sample | One quart can |
The quantity of what the sample constitutes | One JMF Verification | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Unknown | Last name of sampler or witnessed by | Unknown |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | FNF at SPM Templeton | 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 | |
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Performance Grade | PG 64-16 | Lot number | |
Sublot number | Asphalt Rubber Binder Mix Number | Not set |
JMF Information
Verification ID | JMF3513-2020-181 | Date Created | 08/10/2020 |
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JMF Submittal ID | JMF3511-173-2020-263 | JMF Status | Submittal Authorized For Use |
Producer Mix ID | TEM12RGLM20 | Authorized Date | 08/10/2020 |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |