*Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Sample Record for 2020-03-11-6
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: 2020-03-11-6
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: 03/11/2020
Date that the sample was received by the laboratory/organization performing the testing: 03/11/2020
The quantity of what the sample constitutes: HMA
A brief description of the sample: HMA
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
HMA Type: Type A HMA
HMA Grading: 1/2 inch
Lot number: Unknown
Sublot number: Unknown