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 |