Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
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: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
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:
The fabricator/manufacturer/facility name: World Oil
Performance Grade: PG 64-10
Modified:
Lot number:
Sublot number:
Tank number:
Time of sample:
HMA Supplier:
Certified Asphalt Supplier:
Multigrade:
Multigrade Type:
Asphalt Binder Mix Number:
