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

Sample Record for 2020-06-19-4


Project Information

Project ID: 66667 DEA: JMFPP EFIS: 0019000043 QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for submitting Sample information for JMF Prequalification Program.
Location Description:
Contractor Name: Contractor Address:
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-06-19-4
TL Number from the TL Form:
Sample Submitted By Organization: RJ NOBLE COMPANY
Sample Organization Contact: (714) 235-7028
Type of Sample: Quality Control
Type of Material: Asphalt Binder
Sample Taken Date: 06/19/2020
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 4 cans
A brief description of the sample: PG 64-10
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:

Material Information

Performance Grade: PG 64-10
Modified:
Lot number:
Sublot number: