Sample Record
Owner Lab
- Gallagher and Burk Materials
DIME Sample ID 2021-01-07-1
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 | 01/07/2021 | Sample Unique Key | 1 |
---|---|---|---|
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 | 12/02/2020 |
Sample type | Per Request | A brief description of the sample | 3/4" HMA-A 25% RAP Verification Sample |
The quantity of what the sample constitutes | Annual | From where was the sample collected | Supplier |
First name of sampler or witnessed by | Lisa | Last name of sampler or witnessed by | Nordine |
Title of sampler | Lab Supervisor | Telephone number of sampler | 925 719-3671 |
Laboratory sample identification | MD 6741 | Linked DIME Sample ID | 66667 |
The fabricator/manufacturer/facility name | Gallagher and Burk Materials | Transportation Laboratory (TL) Number | 265 |
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 |
---|---|---|---|
HMA Grading | 3/4 inch | Lot number | |
Sublot number | HMA Mix Number | Not set |
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. |