Sample Record
Owner Lab
- CT D05 - San Luis Obispo District Laboratory
DIME Sample ID 2020-09-10-10
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214605 DEA: 051K7904 EFIS: 0519000026 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-166-R51.1/55.0 |
| Award Date | 02/26/2020 |
| Closeout Date | 08/23/2021 |
| Work Description | COLD IN-PLACE RECYCLING AND RHMA OVERLAY. |
| Location Description | SANTA BARBARA COUNTY ABOUT 10 MILES WEST OF NEW CUYAMA FROM CUYAMA RIVER BRIDGE TO 3.1 MILES EAST OF COTTONWOOD CANYON ROAD |
| QA Service Level | 1 (Verified on 04/08/2020) |
Sample Information
| Sample Taken Date | 09/10/2020 | Sample Unique Key | 10 |
|---|---|---|---|
| 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 | 09/15/2020 |
| Sample type | Verification | A brief description of the sample | Quart Can ARB |
| The quantity of what the sample constitutes | One JMF Renewal | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Mark | Last name of sampler or witnessed by | Bennet |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | National Blending Company | 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 | |
|---|---|---|---|
| Performance Grade | PG 64-16 | Lot number | |
| Sublot number | Asphalt Rubber Binder Mix Number | Not set |
JMF Information
| Verification ID | JMF3513-2020-203 | Date Created | 09/18/2020 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-173-2020-289 | JMF Status | Submittal Authorized For Use |
| Producer Mix ID | D1214H630 | Authorized Date | 09/18/2020 |
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. | |||