Sample Record

Owner Lab

  • CT HQ - Sacramento Hot Mix Asphalt Laboratory

DIME Sample ID 2019-03-25-27

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 Date03/25/2019 Sample Unique Key27
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 testing04/29/2019
Sample typeVerification A brief description of the sampleAntistrip (Dispute Resolution of JMF)
The quantity of what the sample constitutesDispute Resolution of JMF Verification From where was the sample collectedManufacturer
First name of sampler or witnessed byMark Last name of sampler or witnessed byHuddleston
Title of samplerMat and Res Eng Aso Telephone number of sampler
Laboratory sample identification019-006 Linked DIME Sample IDNA
The fabricator/manufacturer/facility nameRoad Science Transportation Laboratory (TL) NumberHDQTRS Lab
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAntistrip Additive Antistrip TypeLAS - liquid antistrip
Antistrip Additive Mix NumberNot set

JMF Information

Verification IDJMF3513-2019-57 Date Created05/01/2019
JMF Submittal IDJMF3511-208-2019-83 JMF StatusSubmittal Rejected For Use
Producer Mix ID17-137 Rejected Date05/10/2019

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments