*Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Sample Record for 2020-04-28-3
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: 2020-04-28-3
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Hot Mix Asphalt Laboratory
Sample Organization Contact: (916) 227-7302
Type of Sample: Verification
Type of Material: Asphaltic Emulsion
Sample Taken Date: 04/28/2020
Date that the sample was received by the laboratory/organization performing the testing: 04/28/2020
The quantity of what the sample constitutes: t
A brief description of the sample: t
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Emulsion Grade: CQS-1
Lot Number: 0
Sub Lot: 0