Sample Record
Owner Lab
- Jaxon Enterprises - Deer Creek Rock & Asphalt
DIME Sample ID 2020-05-05-30
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 | 05/05/2020 | Sample Unique Key | 30 |
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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 | Not set |
Sample type | Quality Control | A brief description of the sample | Asphalt Modifer |
The quantity of what the sample constitutes | enough for ATR to design | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Tricor Refining | Last name of sampler or witnessed by | Tricor Refining |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Tricor Refining | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Asphalt Modifier | Asphalt Modifier Type | For Rubberized Oil Designs |
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Asphalt Modifier Mix Number | Not set |
JMF Information
HMA Design ID | JMF3512-2020-292-20-0125.050O | Date Created | 10/09/2020 |
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Submittal | 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. |