Sample Record

Owner Lab

  • CT D05 - Field Laboratory

DIME Sample ID 2019-08-16-16

Project Information

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

Sample Information

Sample Taken Date08/16/2019 Sample Unique Key16
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testingNot set
Sample typeVerification A brief description of the sampleAggregate, Loose Mix, Asphalt, LAS, RAP
The quantity of what the sample constitutesOne JMF Verification From where was the sample collectedJob Site
First name of sampler or witnessed byTom Last name of sampler or witnessed byCromwell
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility namePretech Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAntistrip Additive Antistrip TypeLAS - liquid antistrip
JMF Verification ID JMF3513-2019-77

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.