Sample Record
Owner Lab
- CT HQ - Sacramento Hot Mix Asphalt Laboratory
DIME Sample ID 2021-01-25-10
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 | 01/25/2021 | Sample Unique Key | 10 |
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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 | 01/26/2020 |
Sample type | Verification | A brief description of the sample | PG 64-16 |
The quantity of what the sample constitutes | 2 cans | From where was the sample collected | Supplier |
First name of sampler or witnessed by | Ignocencio | Last name of sampler or witnessed by | Herrera |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Valero Oil | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Asphalt Binder | Performance Grade | PG 64-16 |
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Modified | Lot number | ||
Sublot number | Tank number | ||
Time of sample | HMA Supplier | Not set | |
Certified Asphalt Supplier | Not set | Multigrade | Not set |
Multigrade Type | Not set | Asphalt Binder Mix Number | Not set |
JMF Information
Verification ID | JMF3513-2021-9 | Date Created | 01/26/2021 |
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JMF Submittal ID | JMF3511-208-2021-11 | JMF Status | Submittal Authorized For Use |
Producer Mix ID | 411101510-LB | Authorized Date | 02/11/2021 |
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. |