Sample Record
Owner Lab
- Jaxon Enterprises - Deer Creek Rock & Asphalt
DIME Sample ID 2020-04-20-42
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 | 42 |
|---|---|---|---|
| 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 | 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 |
JMF Information
| HMA Design ID | JMF3512-2020-292-20-0125.050O | Date Created | 10/09/2020 |
|---|---|---|---|
| Submittal | N/A |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-04-20-42-1 AASHTO T228-09r13 (Verified)
DIME Test ID: 2020-04-20-42-2 AASHTO T315-12 (Verified)
