Sample Record
Owner Lab
- CT HQ - Sacramento Hot Mix Asphalt Laboratory
DIME Sample ID 2019-03-25-27
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 | 03/25/2019 | Sample Unique Key | 27 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 04/29/2019 | Sample type | Verification |
| A brief description of the sample | Antistrip (Dispute Resolution of JMF) | The quantity of what the sample constitutes | Dispute Resolution of JMF Verification |
| From where was the sample collected | Manufacturer | First name of sampler or witnessed by | Mark |
| Last name of sampler or witnessed by | Huddleston | Title of sampler | Mat and Res Eng Aso |
| Telephone number of sampler | Laboratory sample identification | 019-006 | |
| Linked DIME Sample ID | NA | The fabricator/manufacturer/facility name | Road Science |
| Transportation Laboratory (TL) Number | HDQTRS Lab | Inspector Lot Number from the Transportation Laboratory (TL) Form | |
| Structure unique identifier | Structure name | ||
| Bid Item | Not set |
Material Information
| Material Type | Antistrip Additive | Antistrip Type | LAS - liquid antistrip |
|---|---|---|---|
| Antistrip Additive Mix Number | Not set |
JMF Information
| Verification ID | JMF3513-2019-57 | Date Created | 05/01/2019 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-208-2019-83 | JMF Status | Submittal Rejected For Use |
| Producer Mix ID | 17-137 | Rejected Date | 05/10/2019 |
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. | |||
