*Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Sample Record for 2020-07-10-3
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: 2020-07-10-3
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: Quality Control
Type of Material: Asphalt Rubber Binder
Sample Taken Date: 07/10/2020
Date that the sample was received by the laboratory/organization performing the testing: 07/10/2020
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:
Asphalt modifier supplier: Unknown
Performance Grade: PG 58-22
Lot number: 1
Sublot number: 1