Sample Record
Owner Lab
- CT HQ - Sacramento Hot Mix Asphalt Laboratory
DIME Sample ID 2019-03-25-26
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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 | 03/25/2019 | Sample Unique Key | 26 |
|---|---|---|---|
| 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 | 04/29/2019 |
| Sample type | Verification | A brief description of the sample | PG 64-10 (Dispute Resolution of JMF) |
| The quantity of what the sample constitutes | Dispute Resolution of JMF Verification | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Mark | Last name of sampler or witnessed by | Huddleston |
| Title of sampler | Mat and Res Eng Aso | Telephone number of sampler | |
| Laboratory sample identification | 019-006 | Linked DIME Sample ID | NA |
| The fabricator/manufacturer/facility name | San Joaquin Refinery | Transportation Laboratory (TL) Number | HDQTRS Lab |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 64-10 |
|---|---|---|---|
| Modified | No | Lot number | Not set |
| Sublot number | Not set | Tank number | Not set |
| Time of sample | Not set | HMA Supplier | Not set |
| Certified Asphalt Supplier | Not set | Multigrade | Not set |
| Multigrade Type | Not set | Asphalt Binder Mix Number | Not set |
JMF Information
| Verification ID | JMF3513-2019-57 | Date Created | 05/01/2019 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-208-2019-83 | JMF Status | Submittal Rejected For Use |
| Producer Mix ID | 17-137 | Rejected Date | 05/10/2019 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-03-25-26-1 AASHTO T228-09r13 (Verified)
DIME Test ID: 2019-03-25-26-2 AASHTO T315-12 (Verified)