*Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Sample Record for 2020-07-01-18
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: 2020-07-01-18
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Office of Structural Materials Field Laboratory
Sample Organization Contact: 7146885366
Type of Sample: Verification
Type of Material: Crumb Rubber Modifier
Sample Taken Date: 07/01/2020
Date that the sample was received by the laboratory/organization performing the testing: 07/02/2020
The quantity of what the sample constitutes: test
A brief description of the sample: test
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier: