Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2019-09-27-33

Project Information

Project IdentifiersProject ID: 66667
DEA: JMFPP
EFIS: 0019000043
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for submitting Sample information for JMF Prequalification Program.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date09/27/2019 Sample Unique Key33
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 typeQuality Control A brief description of the sample1/2 inch HMA-SP WMA PG 64-16
The quantity of what the sample constitutes1 From where was the sample collectedSource
First name of sampler or witnessed byMarina Last name of sampler or witnessed byKamel
Title of sampler Telephone number of sampler707-259-5708
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSYAR Lake Herman Drum Transportation Laboratory (TL) Number
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 number
Sublot number HMA Mix NumberNot set

JMF Information

HMA Design IDJMF3512-2019-133-311101510-LD_0919 Date Created10/28/2019
SubmittalJMF3511-29-2019-117 Submittal Accepted for Verification| JMF3513-2020-116

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments