Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 99999 DEA: 0322222
QA Service Level:
DIST-CO-RTE-PM: 03-SAC,OMG-888,99,80-0.6-0.6
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.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Michael Maksimovich Structure Rep.: Unknown
DIME Sample ID: 2017-08-02-6
TL Number from the TL Form:
Sample Submitted By Organization: ZZCT - Sacramento DIME Development - AVS Testing Internal
Sample Organization Contact:
Type of Sample: Acceptance
Type of Material: Job Mix Formula Partial
Sample Taken Date: 08/02/2017
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: unknown
A brief description of the sample: unknown
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: unknown
Source Identification (SMARA, name of Pit or Job Site): unknown
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: Unknown
Where the material sample would have been placed if not sampled:
Superpave or Non-superpave Mix: Superpave
DIME Test ID: 2017-08-02-6-1
Test Method: AASHTO T283-14: Standard Method of Test for Resistance of Compacted Asphalt Mixtures to Moisture-Induced Damage (Moisture Content)
Submitted By Organization: ZZCT - Sacramento DIME Development - AVS Testing Internal
Organization Address: 123 Street,
Organization City: Sacramento
Organization State: CA
Organization Zipcode:
Organization Email:
Organization Phone:
Data has not been verified.
