Sample Record
Owner Lab
- CT HQ - Hot Mix Asphalt Laboratory
DIME Sample ID 2019-04-12-12
Sample is locked from editing. info
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 | 04/12/2019 | Sample Unique Key | 12 |
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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 | 04/22/2019 |
Sample type | Verification | A brief description of the sample | 3/4 inch Type A HMA (eq. PG 70-10) |
The quantity of what the sample constitutes | JMF Verification | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Martiniano | Last name of sampler or witnessed by | Ruiz |
Title of sampler | Mat and Res Eng Aso Spc | Telephone number of sampler | 5592894416 |
Laboratory sample identification | 019-005 | Linked DIME Sample ID | NA |
The fabricator/manufacturer/facility name | Deer Creek Porterville | Transportation Laboratory (TL) Number | HDQTRS Lab |
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 | Unknown |
Sublot number | Unknown | JMF Verification ID | JMF3513-2019-56 |