Sample Record

Owner Lab

  • CT D01 - District 1 Materials Laboratory

DIME Sample ID 2019-05-31-9

Project Information

Project Identifiers
DEA: No Project
DIST-CO-RTE-PM---
Award DateNot set
Closeout Date11/01/2022
Work DescriptionSpecial project identifier for material not associated with a project
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date05/31/2019 Sample Unique Key9
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 testing05/31/2019
Sample typeVerification A brief description of the sample1/2" HMA PG 64-16
The quantity of what the sample constitutesJMF Verification From where was the sample collectedManufacturer
First name of sampler or witnessed byMark Last name of sampler or witnessed byAttarian
Title of samplerTE Telephone number of sampler
Laboratory sample identification19-076 Linked DIME Sample ID
The fabricator/manufacturer/facility nameKernen Transportation Laboratory (TL) Number908925
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading1/2 inch Lot numberUnknown
Sublot numberUnknown HMA Mix NumberNot set

JMF Information

HMA Design IDJMF3512-2019-113-18-1029.13 Date Created06/11/2019
SubmittalJMF3511-21-2019-99 Submittal Accepted for Verification| JMF3513-2020-98

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments