Sample Record

Owner Lab

  • CT D05 - San Luis Obispo District Laboratory

DIME Sample ID 2020-08-17-29

Project Information

Project IdentifiersProject ID: 214388
DEA: 051F6804
EFIS: 0514000046
DIST-CO-RTE-PM05-MON-1-39.8/74.6
Award Date11/05/2019
Closeout Date08/17/2022
Work DescriptionRHMA OVERLAY ON EXISTING ROADWAY AND REPLACE GUARDRAIL.
Location DescriptionMONTEREY COUNTY FROM TORRE CANYON BRIDGE NEAR BIG SUR TO SAN LUIS AVENUE IN CARMEL
QA Service Level1 (Verified on 09/06/2019)

Sample Information

Sample Taken Date08/17/2020 Sample Unique Key29
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 testing08/27/2020
Sample typeVerification A brief description of the sampleQuart can of ARB
The quantity of what the sample constitutesOne JMF Renewal From where was the sample collectedManufacturer
First name of sampler or witnessed byJ Last name of sampler or witnessed byGomez
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameFNF at Graniterock Aromas Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Rubber Binder Asphalt modifier supplier
Performance GradePG 64-16 Lot number
Sublot number Asphalt Rubber Binder Mix NumberNot set

JMF Information

Verification IDJMF3513-2020-194 Date Created08/31/2020
JMF Submittal IDJMF3511-173-2020-280 JMF StatusSubmittal Authorized For Use
Producer Mix ID886 Authorized Date08/31/2020

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments