Sample Record
Owner Lab
- CT D05 - San Luis Obispo District Laboratory
DIME Sample ID 2020-09-21-30
Project Information
Project Identifiers | Project ID: 214591 DEA: 051M2704 EFIS: 0519000089 |
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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 | 09/21/2020 | Sample Unique Key | 30 |
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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 | 09/22/2020 |
Sample type | Verification | A brief description of the sample | Quart of ARB |
The quantity of what the sample constitutes | One JMF Verification | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Mark | Last name of sampler or witnessed by | Bennett |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Vulcan | 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 | |
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Performance Grade | PG 64-16 | Lot number | |
Sublot number | Asphalt Rubber Binder Mix Number | Not set |
JMF Information
Verification ID | JMF3513-2020-205 | Date Created | 09/25/2020 |
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JMF Submittal ID | JMF3511-173-2020-291 | JMF Status | Submittal Authorized For Use |
Producer Mix ID | 326123SATVLO | Authorized Date | 09/25/2020 |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |