Sample Record
Owner Lab
- CT D05 - Field Laboratory
DIME Sample ID 2020-08-26-17
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 214591 DEA: 051M2704 EFIS: 0519000089 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-150-0.0/2.2 |
| Award Date | 02/14/2020 |
| Closeout Date | 08/23/2021 |
| Work Description | RHMA OVERLAY, FULL WIDTH SEGMENT CORRECTION AND COLD PLANE AC. |
| Location Description | SANTA BARBARA COUNTY IN AND NEAR CARPINTERIA FROM ROUTE 101/150 SEPARATION TO VENTURA COUNTY LINE |
| QA Service Level | 1 (Verified on 05/29/2020) |
Sample Information
| Sample Taken Date | 08/26/2020 | Sample Unique Key | 17 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 08/31/2020 |
| Sample type | Verification | A brief description of the sample | Boxes of RHMA-G |
| The quantity of what the sample constitutes | One JMF Verification | From where was the sample collected | Manufacturer |
| 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 | Vulcan Saticoy | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Hot Mix Asphalt | HMA Type | RHMA-G |
|---|---|---|---|
| HMA Grading | 1/2 inch | Lot number | |
| Sublot number | JMF Verification ID | JMF3513-2020-199 |