Sample Record

Owner Lab

  • CT - Unassigned/General Field Laboratory

DIME Sample ID 2020-05-29-31

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 Date05/29/2020 Sample Unique Key31
Date that the sample was received by the laboratory/organization performing the testing05/29/2020 Sample typeVerification
A brief description of the sampleLab Mix for CTM 368 The quantity of what the sample constitutesLab Mix
From where was the sample collectedOther First name of sampler or witnessed byDanilo
Last name of sampler or witnessed byRamirez Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameMade in D5 Lab
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeHot Mix Asphalt HMA TypeOGFC
HMA Grading1/2 inch Lot numberUnknown
Sublot numberUnknown HMA Mix NumberNot set
Binder content (%)Not set Virgin binder PGNot set
Design binder PGNot set Binder SupplierNot set
RAP content (%)Not set WMA AdditivesNot set
Antistrip typeNot set

JMF Information

Verification IDJMF3513-2020-144 Date Created06/17/2020
JMF Submittal IDJMF3511-173-2020-216 JMF StatusSubmittal Authorized For Use
Producer Mix ID125 Authorized Date06/18/2020

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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Sample File Attachments

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Test File Attachments