DIME » All Projects » Project - DEA: JMFPP » Sample 2021-01-25-10 » Sample Details

Sample Record

Owner Lab

  • CT HQ - Sacramento Hot Mix Asphalt Laboratory

DIME Sample ID 2021-01-25-10

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 Date01/25/2021 Sample Unique Key10
Date that the sample was received by the laboratory/organization performing the testing01/26/2020 Sample typeVerification
A brief description of the samplePG 64-16 The quantity of what the sample constitutes2 cans
From where was the sample collectedSupplier First name of sampler or witnessed byIgnocencio
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 nameValero Oil
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeAsphalt Binder Performance GradePG 64-16
Modified Lot number
Sublot number Tank number
Time of sample HMA SupplierNot set
Certified Asphalt SupplierNot set MultigradeNot set
Multigrade TypeNot set Asphalt Binder Mix NumberNot set
HMA TypeNot set HMA Supplier Mix ID 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

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