Sample Record
Owner Lab
- CT HQ - Sacramento Hot Mix Asphalt Laboratory
DIME Sample ID 2017-04-03-21
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 213793 DEA: 060W7004 EFIS: 0617000283 |
|---|---|
| DIST-CO-RTE-PM | 06-FRE-33-24.3/R29.0,R39.9/44.5 |
| Award Date | 01/24/2019 |
| Closeout Date | 08/20/2021 |
| Work Description | COLD PLANE AC PAVEMENT, PLACE HMA RESURFACING. |
| Location Description | FRESNO COUNTY ABOUT 7.8 MILES NORTH OF COALINGA FROM NORTH JUNCTION ROUTE 198 TO SOUTH JUNCTION ROUTE 33/5 AND FROM 0.1 MILE NORTH OF NORTH JUNCTION ROUTE 33/5 TO EL PROGRESSIO ROAD |
| QA Service Level | 1 (Verified on 01/09/2019) |
Sample Information
| Sample Taken Date | 04/03/2017 | Sample Unique Key | 21 |
|---|---|---|---|
| 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 | 04/03/2017 |
| Sample type | Quality Control | A brief description of the sample | LAS XL-9000 (Dispute Resolution) |
| The quantity of what the sample constitutes | JMF HMA Design Data (Dispute Resolution) | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Road | Last name of sampler or witnessed by | Science |
| Title of sampler | NA | Telephone number of sampler | 805-473-3016 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Road Science | 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 | Antistrip Additive | Antistrip Type | LAS - liquid antistrip |
|---|---|---|---|
| Antistrip Additive Mix Number | Not set |
JMF Information
| HMA Design ID | JMF3512-2019-97-17-137 | Date Created | 05/01/2019 |
|---|---|---|---|
| Submittal | JMF3511-208-2019-83 Submittal Rejected For Use| JMF3513-2019-82 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||