Sample Record
Owner Lab
- CT HQ - Sacramento Hot Mix Asphalt Laboratory
DIME Sample ID 2020-03-27-11
Sample Details QR Code
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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 | 03/27/2020 | Sample Unique Key | 11 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 03/27/2020 | Sample type | Verification |
| A brief description of the sample | PG 64-16 | The quantity of what the sample constitutes | 2 cans |
| From where was the sample collected | Other | First name of sampler or witnessed by | Ed |
| Last name of sampler or witnessed by | Gamboa | Title of sampler | MREA |
| Telephone number of sampler | 2094977814 | Laboratory sample identification | JMF-020-009 |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Valero Oil | |
| Transportation Laboratory (TL) Number | NA | Inspector Lot Number from the Transportation Laboratory (TL) Form | NA |
| Structure unique identifier | Structure name | ||
| Bid Item | Not set |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 64-16 |
|---|---|---|---|
| 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 |
| HMA Type | Not set | HMA Supplier Mix ID Number | Not set |
JMF Information
| Verification ID | JMF3513-2020-103 | Date Created | 04/03/2020 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-208-2020-147 | JMF Status | Submittal Accepted for Verification |
| Producer Mix ID | 311101510-LB_0320 | 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. | |||