Sample Record

Owner Lab

  • CT D03 - Olivehurst Northern Regional Laboratory

DIME Sample ID 2024-09-11-117

Project Information

Project IdentifiersProject ID: 66669
DEA: JMF-DATA
EFIS: JMF-DATA
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for storing JMF sample data
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date09/11/2024 Sample Unique Key117
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 testing09/19/2024
Sample typeVerification A brief description of the samplePG64-16 PNW
The quantity of what the sample constitutesCans of Binder From where was the sample collectedSupplier
First name of sampler or witnessed byJulian Last name of sampler or witnessed byGonzales
Title of samplerNot set Telephone number of samplerNot set
Laboratory sample identificationNot set Linked DIME Sample IDNot set
The fabricator/manufacturer/facility namePNW Transportation Laboratory (TL) NumberNot set
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set Bid ItemNot set

Material Information

Material TypeAsphalt Rubber Binder Asphalt modifier supplierNot set
Performance GradePG 64-16 Lot numberNot set
Sublot numberNot set Asphalt Rubber Binder Mix NumberNot set

JMF Information

Verification IDJMF3513-2025-18 Date Created04/28/2025
JMF Submittal IDJMF3511-23-2025-17 JMF StatusSubmittal Authorized For Use
Producer Mix ID306-40542500-P Authorized Date10/02/2024

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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Sample File Attachments

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Test File Attachments