Sample Record
Owner Lab
- CT - Unassigned/General Field Laboratory
DIME Sample ID 2020-05-29-30
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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 | 05/29/2020 | Sample Unique Key | 30 |
|---|---|---|---|
| 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 | 05/29/2020 |
| Sample type | Verification | A brief description of the sample | Lab Mix for CTM 368 |
| The quantity of what the sample constitutes | Lab Mix | From where was the sample collected | Other |
| First name of sampler or witnessed by | Danilo | Last name of sampler or witnessed by | Ramirez |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Made in D5 Lab | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Hot Mix Asphalt | HMA Type | OGFC |
|---|---|---|---|
| HMA Grading | 1/2 inch | Lot number | Unknown |
| Sublot number | Unknown | HMA Mix Number | Not set |
JMF Information
| Verification ID | JMF3513-2020-143 | Date Created | 06/17/2020 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-173-2020-217 | JMF Status | Submittal Authorized For Use |
| Producer Mix ID | 959 | Authorized Date | 06/18/2020 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-05-29-30-1 CTM 368-November 2010 (Verified)