Sample Record

Owner Lab

  • CT HQ - Sacramento Materials Management Branch Field Office

DIME Sample ID 2023-04-23-1

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 Date04/23/2023 Sample Unique Key1
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 testing04/23/2023
Sample typeQuality Control A brief description of the sample0
The quantity of what the sample constitutes0 From where was the sample collectedJob Site
First name of sampler or witnessed byAlexis Last name of sampler or witnessed byCorona
Title of samplerNot set Telephone number of samplerNot set
Laboratory sample identificationNot set Linked DIME Sample IDNot set
The fabricator/manufacturer/facility name0 Transportation Laboratory (TL) NumberNot set
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAsphalt Rubber Binder Asphalt modifier supplierNot set
Performance GradePG 64-16 Lot numberNot set
Sublot numberNot set Asphalt Rubber Binder Mix NumberNot set

JMF Information

HMA Design IDJMF3512-2023-7-3424 Date Created04/24/2023
SubmittalN/A

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments