Sample Record

Owner Lab

  • CT D05 - San Luis Obispo District Laboratory

DIME Sample ID 2022-07-12-38

Project Information

Project IdentifiersProject ID: 993603
DEA: 051N7004
EFIS: 0521000081
DIST-CO-RTE-PM05-SLO-166-16.0/21.0
Award Date04/22/2022
Closeout Date03/28/2023
Work DescriptionPARTIAL DEPTH RECYCLING AND OVERLAY WITH RHMA (GAP GRADED).
Location DescriptionSAN LUIS OBISPO COUNTY ABOUT 8 MILES EAST OF SANTA MARIA FROM 0.5 MILE WEST OF HUASNA RIVER BRIDGE TO 1.9 MILES WEST OF CUYAMA RIVER BRIDGE.
QA Service Level1 (Verified on 03/28/2022)

Sample Information

Sample Taken Date07/12/2022 Sample Unique Key38
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing07/13/2022
Sample typeInformational A brief description of the sample18 PDR pucks
The quantity of what the sample constitutesTest Strip, Lot 1, Lot 2 From where was the sample collectedJob Site
First name of sampler or witnessed byAregon Last name of sampler or witnessed byQC
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility namePapich Subcontractor Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypePartial Depth Recycling

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