Sample Record
Owner Lab
- CT D01 - District 1 Materials Laboratory
DIME Sample ID 2021-01-12-20
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 | 01/12/2021 | Sample Unique Key | 20 |
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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 | 01/25/2021 |
Sample type | Verification | A brief description of the sample | 16 Boxes HMA |
The quantity of what the sample constitutes | JMF Prequalification | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Anthony | Last name of sampler or witnessed by | Valdez |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Syar Todd Road Batch | 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 | JMF3513-2021-20 | Date Created | 02/02/2021 |
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JMF Submittal ID | JMF3511-21-2021-27 | JMF Status | Submittal Rejected For Use |
Producer Mix ID | 311100010-TB_1220 | Rejected Date | 02/02/2021 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-01-12-20-1 AASHTO T209-12 (Verified)
DIME Test ID: 2021-01-12-20-2 AASHTO T275-07r12 (Verified)
DIME Test ID: 2021-01-12-20-3 AASHTO T269-14 (Verified)