Sample Record
Owner Lab
- CT HQ - Sacramento Hot Mix Asphalt Laboratory
DIME Sample ID 2019-04-01-48
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Project Information
| Project Identifiers | Project ID: 9999 DEA: 00000000 EFIS: 0000000000 COOP: 99999333399 MINOR: 333333 Permit Numbers: 555555 0400NRT0000 |
|---|---|
| DIST-CO-RTE-PM | 03-SAC,OMG-888,99,80-0.6-0.6 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | THIS PROJECT RECORD WAS ADDED FOR DIME DEVELOPERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES. |
| Location Description | THIS PROJECT RECORD WAS ADDED FOR DIME DEVELOPERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES. |
| QA Service Level | 1 (Verified on 04/05/2013) |
Sample Information
| Sample Taken Date | 04/01/2019 | Sample Unique Key | 48 |
|---|---|---|---|
| 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 | 04/01/2019 |
| Sample type | Verification | A brief description of the sample | Lime Slurry |
| The quantity of what the sample constitutes | JMF Verification | From where was the sample collected | Source |
| First name of sampler or witnessed by | Barrett | Last name of sampler or witnessed by | Felder |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Lhoist North America | 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 | Lime - hydrated lime |
|---|---|---|---|
| Antistrip Additive Mix Number | Not set |
JMF Information
| Verification ID | JMF3513-2019-86 | Date Created | 12/02/2019 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-208-2019-127 | JMF Status | Submittal Accepted for Verification |
| Producer Mix ID | GRF-17-G#-01-TEST-RHMA-G | 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. | |||