Sample Record
Owner Lab
- Jaxon Enterprises - Deer Creek Rock & Asphalt
DIME Sample ID 2020-04-20-40
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 | 04/20/2020 | Sample Unique Key | 40 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 04/24/2020 | Sample type | Quality Control |
| A brief description of the sample | Chowchilla PG64-10 | The quantity of what the sample constitutes | Quart of PG64-10 |
| From where was the sample collected | Source | First name of sampler or witnessed by | Jordan |
| Last name of sampler or witnessed by | Baker | Title of sampler | |
| Telephone number of sampler | 5302270982 | Laboratory sample identification | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Deer Creek Rock and Asphalt | |
| 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 | Asphalt Binder | Performance Grade | PG 64-10 |
|---|---|---|---|
| Modified | No | Lot number | |
| Sublot number | 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
| HMA Design ID | JMF3512-2020-290-20-1011.256-0.75inchHMA-A | Date Created | 10/06/2020 |
|---|---|---|---|
| Submittal | JMF3511-215-2020-295 Submittal In Progress |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-04-20-40-1 AASHTO T228-09r13 (Verified)
DIME Test ID: 2020-04-20-40-2 AASHTO T315-12 (Verified)
