*Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Sample Record for 2020-06-29-1
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: 2020-06-29-1
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Sample Organization Contact: (916) 227-7283
Type of Sample: Verification
Type of Material: Skid Test
Sample Taken Date: 06/29/2020
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: sdf
A brief description of the sample: sdf
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Type of Surface: sdf
Date Surface placed: 06/29/2020
Number of Lanes: