Sample Record
Owner Lab
- CT - Unassigned/General Field Laboratory
DIME Sample ID 2019-03-13-19
Project Information
| Project Identifiers | Project ID: 66667 DEA: JMFPP EFIS: 0019000043 |
|---|---|
| DIST-CO-RTE-PM | 59--- |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Special project for submitting Sample information for JMF Prequalification Program. |
| Location Description | Not set |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 03/13/2019 | Sample Unique Key | 19 |
|---|---|---|---|
| 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 | 03/27/2019 |
| Sample type | Verification | A brief description of the sample | Quart Can from plant |
| The quantity of what the sample constitutes | 2 cans | From where was the sample collected | Other |
| First name of sampler or witnessed by | Brent | Last name of sampler or witnessed by | Barber |
| Title of sampler | Field Inspector | Telephone number of sampler | 805-441-0187 |
| Laboratory sample identification | 19-J-015 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Papich Paso Robles | Transportation Laboratory (TL) Number | D5 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | N/A | Structure unique identifier | Not set |
| Structure name | Not set | Bid Item | Not set |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 64-10 |
|---|---|---|---|
| Modified | No | Lot number | Not set |
| Sublot number | Not set | Tank number | Not set |
| Time of sample | Not set | HMA Supplier | Not set |
| Certified Asphalt Supplier | Not set | Multigrade | Not set |
| Multigrade Type | Not set | Asphalt Binder Mix Number | Not set |
JMF Information
| Verification ID | JMF3513-2019-54 | Date Created | 04/12/2019 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-208-2019-80 | JMF Status | Submittal Accepted for Verification |
| Producer Mix ID | TEM34SPLA | Authorized Date | N/A |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-03-13-19-1 AASHTO T228-09r13 (Verified)
DIME Test ID: 2019-03-13-19-2 AASHTO T315-12 (Verified)
