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Sample Record for 2017-12-14-18

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

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: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2017-12-14-18
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT HQ - QAM Sacramento Field Laboratory
Sample Organization Contact: (916) 227-7266
Type of Sample: Quality Control
Type of Material: Reclaimed Asphalt Pavement
Sample Taken Date: 12/14/2017
Date that the sample was received by the laboratory/organization performing the testing: 12/14/2017
The quantity of what the sample constitutes: TEST
A brief description of the sample: TEST
From where was the sample collected: Other
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: TEST

Material Information

RAP Source: TEST
Aggregate Size: Unknown
Aggregate Source: Unknown
RAP Stockpile:
Stockpile Size (tons): Unknown
Reclaimed Asphalt Pavement Mix Number:

Test Results