Sample Record
Owner Lab
- CT HQ - Sacramento Hot Mix Asphalt Laboratory
DIME Sample ID 2019-09-05-33
Sample is locked from editing. info
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 | 09/05/2019 | Sample Unique Key | 33 |
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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 | 09/05/2019 |
Sample type | Quality Control | A brief description of the sample | 3/4 inch RHMA-G SP WMA |
The quantity of what the sample constitutes | 1 | From where was the sample collected | Source |
First name of sampler or witnessed by | Marina | Last name of sampler or witnessed by | Kamel |
Title of sampler | Telephone number of sampler | 707-259-5708 | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Syar Lake Herman | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Crumb Rubber Modifier | CRM Type | Scrap Tire |
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Crumb Rubber Modifier Mix Number | Not set |
JMF Information
HMA Design ID | JMF3512-2019-125-412100010-LB_0919 | Date Created | 09/09/2019 |
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Submittal | JMF3511-208-2019-118 Submittal Rejected For Use| JMF3513-2020-117 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2019-09-05-33-1 CTM 385-November 2016 (Verified)
DIME Test ID: 2019-09-05-33-2 CTM 208-September 2011 (Verified)
DIME Test ID: 2019-09-05-33-3 ASTM D297-15 (Verified)