Sample Record

Owner Lab

  • CT HQ - Sacramento Hot Mix Asphalt Laboratory

DIME Sample ID 2020-12-25-1

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 Date12/25/2020 Sample Unique Key1
Date that the sample was received by the laboratory/organization performing the testing01/26/2021 Sample typeVerification
A brief description of the sampleEvotherm - Ingevity The quantity of what the sample constitutes1 can
From where was the sample collectedSupplier First name of sampler or witnessed byIgnacio
Last name of sampler or witnessed byHerrera Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameIngevity
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeWarm Mix Asphalt Technology Warm Mix Asphalt Technology TypeAdditive Technology
Warm Mix Asphalt Technology Product NameEvotherm WMA Mix NumberNot set

JMF Information

Verification IDJMF3513-2021-9 Date Created01/26/2021
JMF Submittal IDJMF3511-208-2021-11 JMF StatusSubmittal Authorized For Use
Producer Mix ID411101510-LB Authorized Date02/11/2021

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