Sample Record

Owner Lab

  • CT D03 - Olivehurst Northern Regional Laboratory

DIME Sample ID 2024-02-12-70

Project Information

Project IdentifiersProject ID: 66669
DEA: JMF-DATA
EFIS: JMF-DATA
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for storing JMF sample data
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date02/12/2024 Sample Unique Key70
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 testing02/29/2024
Sample typeVerification A brief description of the samplePG 64-16 Valero
The quantity of what the sample constitutesCans of Binder From where was the sample collectedSupplier
First name of sampler or witnessed byJulian Last name of sampler or witnessed byGonzales
Title of samplerNot set Telephone number of samplerNot set
Laboratory sample identificationNot set Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameValero Transportation Laboratory (TL) NumberNot set
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAsphalt Binder Performance GradePG 64-16
ModifiedNot set Lot numberNot set
Sublot numberNot set Tank numberNot set
Time of sampleNot set HMA SupplierNot set
Certified Asphalt SupplierNot set MultigradeNo
Multigrade TypeNot set Asphalt Binder Mix NumberNot set

JMF Information

Verification IDJMF3513-2024-13 Date Created04/05/2024
JMF Submittal IDJMF3511-23-2024-31 JMF StatusSubmittal Authorized For Use
Producer Mix ID321-40442407-V Authorized Date03/20/2024

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments