Sample Record

Owner Lab

  • CT D02 - Redding Northern Regional Laboratory

DIME Sample ID 2022-03-18-57

Project Information

Project IdentifiersProject ID: 66669
DEA: JMF-DATA
EFIS: JMF-DATA
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for storing JMF sample data
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date03/18/2022 Sample Unique Key57
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 testing03/21/2022
Sample typeVerification A brief description of the sample4 cans of PG 58-34 M for use in 1/2-inch Type A HMA (eq. PG 64-28 M)
The quantity of what the sample constitutesJMF Verification From where was the sample collectedManufacturer
First name of sampler or witnessed byWard Last name of sampler or witnessed byJenkins
Title of samplerNot set Telephone number of samplerNot set
Laboratory sample identificationNot set Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameValero - Benicia, CA Transportation Laboratory (TL) NumberNot set
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set Bid ItemNot set

Material Information

Material TypeAsphalt Binder Performance GradePG 58-34 M
ModifiedNot set Lot numberNot set
Sublot numberNot set Tank numberNot set
Time of sampleNot set HMA SupplierNot set
Certified Asphalt SupplierValero Marketing & Supply - Benicia CA MultigradeNo
Multigrade TypeNot set Asphalt Binder Mix NumberNot set

JMF Information

Verification IDJMF3513-2022-6 Date Created04/12/2022
JMF Submittal IDJMF3511-22-2022-12 JMF StatusSubmittal Authorized For Use
Producer Mix IDL220311 Authorized Date06/20/2022

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