Sample Record
Owner Lab
- CT D04 - Hayward DME / District Laboratory
DIME Sample ID 2025-01-17-48
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 66669 DEA: JMF-DATA EFIS: JMF-DATA |
|---|---|
| DIST-CO-RTE-PM | 59--- |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Special project for storing JMF sample data |
| Location Description | Not set |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 01/17/2025 | Sample Unique Key | 48 |
|---|---|---|---|
| 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 testing | 01/17/2025 |
| Sample type | Verification | A brief description of the sample | PG 64-10 |
| The quantity of what the sample constitutes | 3 Cans | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | WAI YIN | Last name of sampler or witnessed by | LAM |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | D04-JMF-25-001 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Valero-Benicia Asphalt Plant | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 64-10 |
|---|---|---|---|
| Modified | Lot number | ||
| Sublot number | Tank number | ||
| Time of sample | HMA Supplier | ||
| Certified Asphalt Supplier | Valero Marketing & Supply - Benicia CA | Multigrade | No |
| Multigrade Type | Asphalt Binder Mix Number |
JMF Information
| Verification ID | JMF3513-2025-22 | Date Created | 05/13/2025 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-318-2025-21 | JMF Status | Submittal Accepted for Verification |
| Producer Mix ID | 14788 | Authorized Date | N/A |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||