Sample Record

Owner Lab

  • CT HQ - Sacramento Hot Mix Asphalt Laboratory

DIME Sample ID 2019-04-24-19

Project Information

Project IdentifiersProject ID: 66667
DEA: JMFPP
EFIS: 0019000043
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for submitting Sample information for JMF Prequalification Program.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date04/24/2019 Sample Unique Key19
Date that the sample was received by the laboratory/organization performing the testing04/24/2019 Sample typeQuality Control
A brief description of the sampleEvotherm M1 LAS The quantity of what the sample constitutes24 boxes
From where was the sample collectedManufacturer First name of sampler or witnessed byEscobar
Last name of sampler or witnessed byEscobar Title of samplerQC Operations Supervisor
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameIngevity
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifierNot set Structure nameNot set
Bid ItemNot set

Material Information

Material TypeAntistrip Additive Antistrip TypeLAS - liquid antistrip
Antistrip Additive Mix NumberNot set

JMF Information

HMA Design IDJMF3512-2019-94-3885 Date Created04/29/2019
SubmittalJMF3511-208-2019-82 Submittal In Progress

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments