Sample Record
Owner Lab
- CT HQ - Sacramento Materials Management Branch Field Office
DIME Sample ID 2018-04-03-3
Project Information
| Project Identifiers | Project ID: 99999 DEA: 0322222 |
|---|---|
| DIST-CO-RTE-PM | 03-SAC,OMG-888,99,80-0.6-0.6 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES. |
| Location Description | THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES. |
| QA Service Level | (Verified on 04/05/2013) |
Sample Information
| Sample Taken Date | 04/03/2018 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 04/03/2018 |
| Sample type | Verification | A brief description of the sample | aa |
| The quantity of what the sample constitutes | 1 | From where was the sample collected | Source |
| First name of sampler or witnessed by | thnh | Last name of sampler or witnessed by | nguyen |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | aaaaa | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
| Structure name | Not set | Bid Item | Not set |
Material Information
| Material Type | Crumb Rubber Modifier | CRM Type | High Natural |
|---|---|---|---|
| Crumb Rubber Modifier Mix Number | Not set | HMA Pay | No |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
