Sample Record
Owner Lab
- Gallagher and Burk Materials
DIME Sample ID 2021-01-07-1
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 | 01/07/2021 | Sample Unique Key | 1 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 12/02/2020 | Sample type | Per Request |
| A brief description of the sample | 3/4" HMA-A 25% RAP Verification Sample | The quantity of what the sample constitutes | Annual |
| From where was the sample collected | Supplier | First name of sampler or witnessed by | Lisa |
| Last name of sampler or witnessed by | Nordine | Title of sampler | Lab Supervisor |
| Telephone number of sampler | 925 719-3671 | Laboratory sample identification | MD 6741 |
| Linked DIME Sample ID | 66667 | The fabricator/manufacturer/facility name | Gallagher and Burk Materials |
| Transportation Laboratory (TL) Number | 265 | Inspector Lot Number from the Transportation Laboratory (TL) Form | |
| Structure unique identifier | Structure name | ||
| Bid Item | Not set |
Material Information
| Material Type | Hot Mix Asphalt | HMA Type | Type A HMA |
|---|---|---|---|
| HMA Grading | 3/4 inch | Lot number | |
| Sublot number | HMA Mix Number | Not set | |
| Binder content (%) | Not set | Virgin binder PG | Not set |
| Design binder PG | Not set | Binder Supplier | Not set |
| RAP content (%) | Not set | WMA Additives | Not set |
| Antistrip type | Not set |
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. | |||
