Sample Record
Owner Lab
- CT D04 - Hayward DME / District Laboratory
DIME Sample ID 2020-10-15-3
Sample is locked from editing. info
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 | 10/15/2020 | Sample Unique Key | 3 |
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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 | 10/15/2020 |
Sample type | Verification | A brief description of the sample | 22 Box of HMA |
The quantity of what the sample constitutes | 22 Box | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Donald Zuniga | Last name of sampler or witnessed by | Donald Zuniga |
Title of sampler | Nick Hill Plant QC | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Syar Industries | 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 | Type A HMA |
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HMA Grading | 1/2 inch | Lot number | |
Sublot number | HMA Mix Number | Not set |
JMF Information
Verification ID | JMF3513-2020-210 | Date Created | 10/15/2020 |
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JMF Submittal ID | JMF3511-318-2020-298 | JMF Status | Submittal Accepted for Verification |
Producer Mix ID | 311100010-TB | Authorized Date | N/A |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2020-10-15-3-1 AASHTO T275-07r12 (Verified)
DIME Test ID: 2020-10-15-3-2 AASHTO T209-12 (Verified)
DIME Test ID: 2020-10-15-3-3 AASHTO T269-14 (Verified)