Sample Record
Owner Lab
- CT HQ - Hot Mix Asphalt Laboratory
DIME Sample ID 2019-03-27-12
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 66667 DEA: JMFPP EFIS: 0019000043 |
|---|---|
| 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 | 03/27/2019 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 | 03/27/2019 |
| Sample type | Quality Control | A brief description of the sample | Asphalt Modifier - Trico Refining - 2.5% |
| The quantity of what the sample constitutes | 1 sample set | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Ruedi |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Trico Refining | 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 | Asphalt Modifier | Asphalt Modifier Type | NA |
|---|---|---|---|
| HMA Design ID | JMF3512-2019-85-326114 |