Sample Record

Owner Lab

  • CT HQ - Hot Mix Asphalt Laboratory

DIME Sample ID 2019-04-24-19

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 Date04/24/2019 Sample Unique Key19
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 testing04/24/2019
Sample typeQuality Control A brief description of the sampleEvotherm M1 LAS
The quantity of what the sample constitutes24 boxes From where was the sample collectedManufacturer
First name of sampler or witnessed byEscobar Last name of sampler or witnessed byEscobar
Title of samplerQC Operations Supervisor Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameIngevity Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAntistrip Additive Antistrip TypeLAS - liquid antistrip
HMA Design ID JMF3512-2019-94-3885

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.