Sample Record
Owner Lab
- Jaxon Enterprises - Deer Creek Rock & Asphalt
DIME Sample ID 2019-01-24-10
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 | 01/24/2019 | Sample Unique Key | 10 |
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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 | 01/24/2019 |
Sample type | Preliminary | A brief description of the sample | 3/4" Type A HMA |
The quantity of what the sample constitutes | 50 | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Akira | Last name of sampler or witnessed by | Hasegawa |
Title of sampler | Telephone number of sampler | 5592236284 | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Jaxon Enterprises | 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 | Hot Mix Asphalt | HMA Type | Type A HMA |
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HMA Grading | 3/4 inch | Lot number | 0 |
Sublot number | 1 | HMA Mix Number | Not set |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |