Sample Record

DIME Sample ID 2022-03-17-76

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

Owner Lab

  • CT D02 - Redding Northern Regional Laboratory

Sample Information

Sample Taken Date03/17/2022 Sample Unique Key76
Date that the sample was received by the laboratory/organization performing the testing03/21/2022 Sample typeVerification
A brief description of the sample2 cans of PG 58-34 M binder The quantity of what the sample constitutesJMF Verification
From where was the sample collectedManufacturer First name of sampler or witnessed byClint
Last name of sampler or witnessed byRogers Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameValero - Benicia, CA
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 58-34 M
Modified Lot number0
Sublot number0 Tank number
Time of sample2022-03-21 HMA SupplierTullis - Northstate Asphalt - Redding, CA
Certified Asphalt SupplierValero Marketing & Supply - Benicia CA MultigradeNo
Multigrade Type Asphalt Binder Mix NumberNot set
HMA TypeNot set HMA Supplier Mix ID NumberNot set

JMF Information

Verification IDJMF3513-2022-2 Date Created03/21/2022
JMF Submittal IDJMF3511-22-2022-3 JMF StatusSubmittal Authorized For Use
Producer Mix IDL220310 Authorized Date05/24/2022

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