Sample Record

Owner Lab

  • Teichert Materials - Sacramento

DIME Sample ID 2020-05-04-1

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 Date05/04/2020 Sample Unique Key1
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 testing05/04/2020
Sample typeQuality Control A brief description of the sampleHot mix asphalt
The quantity of what the sample constitutesJMF Prequalification Program From where was the sample collectedManufacturer
First name of sampler or witnessed byKevin Last name of sampler or witnessed byOwen
Title of samplerQC Supervisor Telephone number of sampler(209)481-2952
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameTeichert Materials Vernalis 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 Grading3/4 inch Lot numberUnknown
Sublot numberUnknown HMA Mix NumberNot set

JMF Information

HMA Design IDJMF3512-2020-196-VRN34SPAWR7010XL9C Date Created05/04/2020
SubmittalN/A

Combined Gradation Report Information

Combined Gradation Report IdBin IndexDime Test Id
No assigned tests for this sample.

Submitted Tests

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

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments