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

Sample Record for 2018-07-10-1


Project Information

Project ID: 212408 DEA: 09350804 EFIS: 0900020055 QA Service Level: 1
DIST-CO-RTE-PM: 09-MNO-395-80.6/84.1
Work Description: CONSTRUCT PULVERIZED ROADBED, HMA AND ANCHORED WIRE MESH SYSTEM.
Location Description: MONO COUNTY NEAR BRIDGEPORT FROM BUCKEYE ROAD TO 2.9 MILES SOUTH OF SWAUGER CANYON ROAD
Contractor Name: PAPICH CONSTRUCTION COMPANY, INC. Contractor Address: PO BOX 2210
Resident Engineer: Lee Scotese Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2018-07-10-1
TL Number from the TL Form:
Sample Submitted By Organization: CT D09 - Field Laboratory
Sample Organization Contact: (760) 872-5211
Type of Sample: Quality Assurance
Type of Material: Asphalt Modifier
Sample Taken Date: 07/10/2018
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 1 one quart bottle
A brief description of the sample: ERA Oil
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:

Material Information

Asphalt Modifier Type: PASS R