*Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Sample Record for 2019-01-29-19
Project ID: 99999 DEA: 0322222 QA Service Level:
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: Contractor Address:
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2019-01-29-19
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Sample Organization Contact: (916) 227-7204
Type of Sample: Quality Control
Type of Material: Asphalt Binder
Sample Taken Date: 01/29/2019
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 1 container
A brief description of the sample: Asphalt Binder Sample
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Performance Grade: PG 64-10