Sample Record

Owner Lab

  • CT D05 - Field Laboratory

DIME Sample ID 2020-09-10-10

Project Information

Project IdentifiersProject ID: 214605
DEA: 051K7904
EFIS: 0519000026
DIST-CO-RTE-PM05-SB-166-R51.1/55.0
Award Date02/26/2020
Closeout Date08/23/2021
Work DescriptionCOLD IN-PLACE RECYCLING AND RHMA OVERLAY.
Location DescriptionSANTA BARBARA COUNTY ABOUT 10 MILES WEST OF NEW CUYAMA FROM CUYAMA RIVER BRIDGE TO 3.1 MILES EAST OF COTTONWOOD CANYON ROAD
QA Service Level1 (Verified on 04/08/2020)

Sample Information

Sample Taken Date09/10/2020 Sample Unique Key10
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 testing09/15/2020
Sample typeVerification A brief description of the sampleQuart Can ARB
The quantity of what the sample constitutesOne JMF Renewal From where was the sample collectedManufacturer
First name of sampler or witnessed byMark Last name of sampler or witnessed byBennet
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameNational Blending Company 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 JMF Verification ID JMF3513-2020-203

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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