Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2022-03-17-76
Sample Details QR Code
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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 | 03/17/2022 | Sample Unique Key | 76 |
|---|---|---|---|
| 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 | 03/21/2022 |
| Sample type | Verification | A brief description of the sample | 2 cans of PG 58-34 M binder |
| The quantity of what the sample constitutes | JMF Verification | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Clint | Last name of sampler or witnessed by | Rogers |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Valero - Benicia, CA | 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 58-34 M |
|---|---|---|---|
| Modified | Lot number | 0 | |
| Sublot number | 0 | Tank number | |
| Time of sample | 2022-03-21 | HMA Supplier | Tullis - Northstate Asphalt - Redding, CA |
| Certified Asphalt Supplier | Valero Marketing & Supply - Benicia CA | Multigrade | No |
| Multigrade Type | Asphalt Binder Mix Number | Not set |
JMF Information
| Verification ID | JMF3513-2022-2 | Date Created | 03/21/2022 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-22-2022-3 | JMF Status | Submittal Authorized For Use |
| Producer Mix ID | L220310 | Authorized Date | 05/24/2022 |
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. | |||