Sample Record
Owner Labs
- G3 Quality, Incorporated - Cerritos
- Sierra Pacific Materials
DIME Sample ID 2019-01-04-8
Project Information
Project Identifiers | Project ID: 66667 DEA: JMFPP EFIS: 0019000043 |
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DIST-CO-RTE-PM | 59--- |
Award Date | Not set |
Closeout Date | Not set |
Work Description | Special project for submitting Sample information for JMF Prequalification Program. |
Location Description | Not set |
QA Service Level | NOT VERIFIED |
Sample Information
Sample Taken Date | 01/04/2019 | Sample Unique Key | 8 |
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Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 01/04/2019 |
Sample type | Quality Control | A brief description of the sample | Pavegrip 519 |
The quantity of what the sample constitutes | JMF | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | none | Last name of sampler or witnessed by | none |
Title of sampler | none | Telephone number of sampler | 555555555 |
Laboratory sample identification | TEM34SPLA | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Pretech | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
Structure name | Not set |
Material Information
Material Type | Antistrip Additive | Antistrip Type | LAS - liquid antistrip |
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Antistrip Additive Mix Number | Not set |
JMF Information
HMA Design ID | JMF3512-2019-68-Test | Date Created | 02/05/2019 |
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Submittal | JMF3511-208-2019-73 Submittal In Progress| JMF3513-2019-72 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2019-01-04-8-1 ASTM D2074-07r13 (Verified)