Sample Record
Owner Lab
- CT D05 - San Luis Obispo District Laboratory
DIME Sample ID 2019-08-16-16
Project Information
| Project Identifiers | DEA: No Project |
|---|---|
| DIST-CO-RTE-PM | --- |
| Award Date | Not set |
| Closeout Date | 11/01/2022 |
| Work Description | Special project identifier for material not associated with a project |
| Location Description | Not set |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 08/16/2019 | Sample Unique Key | 16 |
|---|---|---|---|
| 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 | Not set |
| Sample type | Verification | A brief description of the sample | Aggregate, Loose Mix, Asphalt, LAS, RAP |
| The quantity of what the sample constitutes | One JMF Verification | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Tom | Last name of sampler or witnessed by | Cromwell |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Pretech | 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 | Antistrip Additive | Antistrip Type | LAS - liquid antistrip |
|---|---|---|---|
| Antistrip Additive Mix Number | Not set |
JMF Information
| Verification ID | JMF3513-2019-77 | Date Created | 09/26/2019 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-208-2019-112 | JMF Status | Submittal Accepted for Verification |
| Producer Mix ID | TEM12SPLA | 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. | |||
