Sample Record
Owner Lab
- CT HQ - Sacramento Hot Mix Asphalt Laboratory
DIME Sample ID 2020-03-27-11
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 | 03/27/2020 | Sample Unique Key | 11 |
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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 | 03/27/2020 |
Sample type | Verification | A brief description of the sample | PG 64-16 |
The quantity of what the sample constitutes | 2 cans | From where was the sample collected | Other |
First name of sampler or witnessed by | Ed | Last name of sampler or witnessed by | Gamboa |
Title of sampler | MREA | Telephone number of sampler | 2094977814 |
Laboratory sample identification | JMF-020-009 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Valero Oil | Transportation Laboratory (TL) Number | NA |
Inspector Lot Number from the Transportation Laboratory (TL) Form | NA | Structure unique identifier | |
Structure name |
Material Information
Material Type | Asphalt Binder | Performance Grade | PG 64-16 |
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Modified | No | Lot number | Not set |
Sublot number | Not set | Tank number | Not set |
Time of sample | Not set | HMA Supplier | Not set |
Certified Asphalt Supplier | Not set | Multigrade | Not set |
Multigrade Type | Not set | Asphalt Binder Mix Number | Not set |
JMF Information
Verification ID | JMF3513-2020-103 | Date Created | 04/03/2020 |
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JMF Submittal ID | JMF3511-208-2020-147 | JMF Status | Submittal Accepted for Verification |
Producer Mix ID | 311101510-LB_0320 | 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 |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |