Sample Record
Owner Lab
- CT HQ - Sacramento Hot Mix Asphalt Laboratory
DIME Sample ID 2023-09-21-14
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 66669 DEA: JMF-DATA EFIS: JMF-DATA |
|---|---|
| DIST-CO-RTE-PM | 59--- |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Special project for storing JMF sample data |
| Location Description | Not set |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 09/21/2023 | Sample Unique Key | 14 |
|---|---|---|---|
| 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 testing | 09/22/2023 |
| Sample type | Verification | A brief description of the sample | PG 64-10 quart cans |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Clinton | Last name of sampler or witnessed by | Edmiston |
| Title of sampler | Not set | Telephone number of sampler | Not set |
| Laboratory sample identification | Not set | Linked DIME Sample ID | Not set |
| The fabricator/manufacturer/facility name | Valero | Transportation Laboratory (TL) Number | Not set |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
| Structure name | Not set | Bid Item | Not set |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 58-22 |
|---|---|---|---|
| Modified | Not set | Lot number | Not set |
| Sublot number | Not set | Tank number | Not set |
| Time of sample | Not set | HMA Supplier | Not set |
| Certified Asphalt Supplier | Not set | Multigrade | Yes |
| Multigrade Type | Not set | Asphalt Binder Mix Number | Not set |
JMF Information
| Verification ID | JMF3513-2023-17 | Date Created | 09/21/2023 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-208-2023-20 | JMF Status | Submittal Accepted for Verification |
| Producer Mix ID | 1465 | Authorized Date | N/A |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||