Sample Record
Owner Lab
- CT D05 - San Luis Obispo District Laboratory
DIME Sample ID 2020-07-27-31
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214756 DEA: 050N7AU4 EFIS: 0520000030 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-101-1.4/4.8 |
| Award Date | Not set |
| Closeout Date | 09/27/2022 |
| Work Description | Segment 4A - Carpinteria: Construct HOV lanes and rehabilitation. Source inspection of sign structure trusses, lighting structures, epoxy coated rebar, precast box culverts, precast RCP. |
| Location Description | CARPINTERIA FROM 0.2 MILE SOUTH OF BAILARD AVENUE OVERCROSSING TO 0.7 MILE SOUTH OF SOUTH PADARO LANE |
| QA Service Level | 1 (Verified on 03/09/2020) |
Sample Information
| Sample Taken Date | 07/27/2020 | Sample Unique Key | 31 |
|---|---|---|---|
| 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 | 07/28/2020 |
| Sample type | Verification | A brief description of the sample | Quart of Binder |
| 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 | Darren | Last name of sampler or witnessed by | LaChaine |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Valero | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 58-22 |
|---|---|---|---|
| Modified | Lot number | ||
| Sublot number | Tank number | Not set | |
| Time of sample | Not set | HMA Supplier | Not set |
| Certified Asphalt Supplier | Not set | Multigrade | Not set |
| Multigrade Type | Not set | Asphalt Binder Mix Number | Not set |
JMF Information
| Verification ID | JMF3513-2020-184 | Date Created | 08/13/2020 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-173-2020-266 | JMF Status | Submittal Authorized For Use |
| Producer Mix ID | 13201 | Authorized Date | 08/13/2020 |
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. | |||