Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 88888 DEA: SMTL-STOCK EFIS: SMTL-STOCK
QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for SMTL stock material. Object Code: 1025. J2 DEA: 912680.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2018-01-16-4
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT HQ - Sacramento Chemistry Laboratory
Sample Organization Contact: (916) 227-7912
Type of Sample: Quality Assurance
Type of Material: Thermoplastic
Sample Taken Date: 01/16/2018
Date that the sample was received by the laboratory/organization performing the testing: 01/18/2018
The quantity of what the sample constitutes: 1
A brief description of the sample: pth02alkyd
From where was the sample collected: Manufacturer
Laboratory sample identification: C185000
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: ennis flint