Sample Record
Owner Lab
- CT HQ - Sacramento Hot Mix Asphalt Laboratory
DIME Sample ID 2019-03-25-27
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 | 03/25/2019 | Sample Unique Key | 27 |
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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 | 04/29/2019 |
Sample type | Verification | A brief description of the sample | Antistrip (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 | Road Science | Transportation Laboratory (TL) Number | HDQTRS Lab |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Antistrip Additive | Antistrip Type | LAS - liquid antistrip |
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Antistrip Additive Mix Number | Not set |
JMF Information
Verification ID | JMF3513-2019-57 | Date Created | 05/01/2019 |
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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
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |