Sample Record
Owner Lab
- CT D01 - District 1 Materials Laboratory
DIME Sample ID 2021-01-12-20
Sample is locked from editing. info
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 | 01/12/2021 | Sample Unique Key | 20 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 01/25/2021 |
| Sample type | Verification | A brief description of the sample | 16 Boxes HMA |
| The quantity of what the sample constitutes | JMF Prequalification | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Anthony | Last name of sampler or witnessed by | Valdez |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Syar Todd Road Batch | 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 | Hot Mix Asphalt | HMA Type | Type A HMA |
|---|---|---|---|
| HMA Grading | 1/2 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 |
JMF Information
| Verification ID | JMF3513-2021-20 | Date Created | 02/02/2021 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-21-2021-27 | JMF Status | Submittal Rejected For Use |
| Producer Mix ID | 311100010-TB_1220 | Rejected Date | 02/02/2021 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-01-12-20-1 AASHTO T209-12 (Verified)
DIME Test ID: 2021-01-12-20-2 AASHTO T275-07r12 (Verified)
DIME Test ID: 2021-01-12-20-3 AASHTO T269-14 (Verified)
