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: 2019-10-29-9
TL Number from the TL Form:
Sample Submitted By Organization: ZZCT - Sacramento DIME Development - AVS Testing Internal
Sample Organization Contact:
Type of Sample: Verification
Type of Material: Hot Mix Asphalt
Sample Taken Date: 10/29/2019
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 20 boxes
A brief description of the sample: 1/2 HMA
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Construction
DIME Test ID: 2019-10-29-9-1
Test Method: AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
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.
