Sample Record

Owner Lab

  • CT D05 - Field Laboratory

DIME Sample ID 2020-09-21-30

Project Information

Project IdentifiersProject ID: 214591
DEA: 051M2704
EFIS: 0519000089
DIST-CO-RTE-PM05-SB-150-0.0/2.2
Award Date02/14/2020
Closeout Date08/23/2021
Work DescriptionRHMA OVERLAY, FULL WIDTH SEGMENT CORRECTION AND COLD PLANE AC.
Location DescriptionSANTA BARBARA COUNTY IN AND NEAR CARPINTERIA FROM ROUTE 101/150 SEPARATION TO VENTURA COUNTY LINE
QA Service Level1 (Verified on 05/29/2020)

Sample Information

Sample Taken Date09/21/2020 Sample Unique Key30
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 testing09/22/2020
Sample typeVerification A brief description of the sampleQuart of ARB
The quantity of what the sample constitutesOne JMF Verification From where was the sample collectedJob Site
First name of sampler or witnessed byMark Last name of sampler or witnessed byBennett
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameVulcan 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 JMF3513-2020-205

Submitted Tests

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