Sample Record

Owner Lab

  • CT HQ - Hot Mix Asphalt Laboratory

DIME Sample ID 2019-03-27-13

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 66667
DEA: JMFPP
EFIS: 0019000043
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for submitting Sample information for JMF Prequalification Program.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date03/27/2019 Sample Unique Key13
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 testing03/27/2019
Sample typeQuality Control A brief description of the sampleScrap - Crumb Rubber Modifier - BAS Recycling Inc.
The quantity of what the sample constitutes1 sample set From where was the sample collectedManufacturer
First name of sampler or witnessed byDavid Last name of sampler or witnessed byRuedi
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameBAS Recycling Inc Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeCrumb Rubber Modifier CRM TypeScrap Tire
HMA Design ID JMF3512-2019-85-326114

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-03-27-13-1THIS TEST HAS BEEN SUPERSEDED.
CTM 385-November 2016: Method of Test for Sampling and Testing Crumb Rubber Modifier (CRM)
Mike PaulsonCT HQ - Hot Mix Asphalt Laboratory04/01/2019Clinton Edmiston
Yes
04/10/2019THIS TEST HAS BEEN SUPERSEDED.
JMFPP: CT 385 Scrap - Crumb Rubber Modifier - BAS Recycling Inc.
2019-03-27-13-2CTM 385-November 2016: Method of Test for Sampling and Testing Crumb Rubber Modifier (CRM)Mike PaulsonCT HQ - Hot Mix Asphalt Laboratory04/01/2019Clinton Edmiston
Yes
04/10/2019JMFPP: CT 385 Scrap - Crumb Rubber Modifier - BAS Recycling Inc.