Sample Record

Owner Lab

  • CT HQ - Sacramento Hot Mix Asphalt Laboratory

DIME Sample ID 2020-12-25-1

Project Information

Project IdentifiersProject ID: 66667
DEA: JMFPP
EFIS: 0019000043
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for submitting Sample information for JMF Prequalification Program.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date12/25/2020 Sample Unique Key1
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 testing01/26/2021
Sample typeVerification A brief description of the sampleEvotherm - Ingevity
The quantity of what the sample constitutes1 can From where was the sample collectedSupplier
First name of sampler or witnessed byIgnacio Last name of sampler or witnessed byHerrera
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameIngevity Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeWarm Mix Asphalt Technology Warm Mix Asphalt Technology TypeAdditive Technology
Warm Mix Asphalt Technology Product NameEvotherm WMA Mix NumberNot set

JMF Information

Verification IDJMF3513-2021-9 Date Created01/26/2021
JMF Submittal IDJMF3511-208-2021-11 JMF StatusSubmittal Authorized For Use
Producer Mix ID411101510-LB Authorized Date02/11/2021

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments