Sample Record

Owner Lab

  • CT D05 - San Luis Obispo District Laboratory

DIME Sample ID 2020-08-14-32

Project Information

Project IdentifiersProject ID: 214658
DEA: 051K7104
EFIS: 0518000232
DIST-CO-RTE-PM05-SLO-46,101-var
Award Date04/28/2020
Closeout Date08/23/2021
Work DescriptionPLACE METHACRYLATE DECK SEAL, POLYESTER CONCRETE OVERLAY, JOINT SEALS
Location DescriptionSAN LUIS OBISPO COUNTY IN AND NEAR PASO ROBLES AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 02/20/2020)

Sample Information

Sample Taken Date08/14/2020 Sample Unique Key32
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 testing09/09/2020
Sample typeVerification A brief description of the samplePint of WMA
The quantity of what the sample constitutesOne JMF Verification From where was the sample collectedJob Site
First name of sampler or witnessed byMike Last name of sampler or witnessed bySavage
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameRoad Science Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeWarm Mix Asphalt Technology Warm Mix Asphalt Technology TypeAdditive Technology
Warm Mix Asphalt Technology Product Name WMA Mix NumberNot set

JMF Information

Verification IDJMF3513-2020-204 Date Created09/25/2020
JMF Submittal IDJMF3511-173-2020-290 JMF StatusSubmittal Authorized For Use
Producer Mix IDTEM34SPWM Authorized Date09/25/2020

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