Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2022-03-17-76

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 Date03/17/2022 Sample Unique Key76
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 testing03/21/2022
Sample typeVerification A brief description of the sample2 cans of PG 58-34 M binder
The quantity of what the sample constitutesJMF Verification From where was the sample collectedManufacturer
First name of sampler or witnessed byClint Last name of sampler or witnessed byRogers
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameValero - Benicia, CA Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 58-34 M
Modified Lot number0
Sublot number0 Tank number
Time of sample2022-03-21 HMA SupplierTullis - Northstate Asphalt - Redding, CA
Asphalt Binder SupplierValero Marketing & Supply - Benicia CA MultigradeNo
Multigrade Type JMF Verification ID JMF3513-2022-2

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.