Sample Record
Owner Lab
- CT D05 - San Luis Obispo District Laboratory
DIME Sample ID 2019-08-16-16
Project Information
Project Identifiers | DEA: No Project |
---|---|
DIST-CO-RTE-PM | --- |
Award Date | Not set |
Closeout Date | 11/01/2022 |
Work Description | Special project identifier for material not associated with a project |
Location Description | Not set |
QA Service Level | NOT VERIFIED |
Sample Information
Sample Taken Date | 08/16/2019 | Sample Unique Key | 16 |
---|---|---|---|
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 testing | Not set |
Sample type | Verification | A brief description of the sample | Aggregate, Loose Mix, Asphalt, LAS, RAP |
The quantity of what the sample constitutes | One JMF Verification | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Tom | Last name of sampler or witnessed by | Cromwell |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Pretech | Transportation Laboratory (TL) Number | |
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 |
---|---|---|---|
Antistrip Additive Mix Number | Not set |
JMF Information
Verification ID | JMF3513-2019-77 | Date Created | 09/26/2019 |
---|---|---|---|
JMF Submittal ID | JMF3511-208-2019-112 | JMF Status | Submittal Accepted for Verification |
Producer Mix ID | TEM12SPLA | Authorized Date | N/A |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
---|---|---|---|---|---|---|---|---|
No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
---|---|---|---|
No results found. |