Sample Record
Owner Lab
- CT HQ - Sacramento Hot Mix Asphalt Laboratory
DIME Sample ID 2020-03-27-14
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 66667 DEA: JMFPP EFIS: 0019000043 |
|---|---|
| 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 | 14 |
|---|---|---|---|
| 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 | 03/27/2020 |
| Sample type | Verification | A brief description of the sample | Evotherm - Ingevity |
| The quantity of what the sample constitutes | 1 can | 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 | Syar Industries | Transportation Laboratory (TL) Number | NA |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | NA | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | Warm Mix Asphalt Technology | Warm Mix Asphalt Technology Type | Additive Technology |
|---|---|---|---|
| Warm Mix Asphalt Technology Product Name | Evotherm M1 | WMA Mix Number | Not set |
JMF Information
| Verification ID | JMF3513-2020-103 | Date Created | 04/03/2020 |
|---|---|---|---|
| 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 |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||