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Sample Record for 2021-06-07-10

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

Project Information

Project ID: 215042 DEA: 100TST04 EFIS: 1020999999 QA Service Level: 1
DIST-CO-RTE-PM: 10-STA-5-26.1/27.0
Work Description: This is just a test EA, not tied to an actual project at all. Don't believe anything you read.
Location Description:
Contractor Name: ZZ-Acme Construction
Contractor Address: 1234 Main Street, AnyTown, CA 98765
Resident Engineer: Thomas Tutone Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-06-07-10
TL Number from the TL Form:
Sample Submitted By Organization: CT D09 - Field Laboratory
Sample Organization Contact: (760) 872-5211
Type of Sample: Verification
Type of Material: Reclaimed Asphalt Pavement
Sample Taken Date: 06/07/2021
Date that the sample was received by the laboratory/organization performing the testing: 06/08/2021
The quantity of what the sample constitutes: 2 Bags of RAP
A brief description of the sample: RAP
From where was the sample collected: Supplier
Laboratory sample identification: 2154
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Construction

Material Information

RAP Source: Hot Plant Stockpile
Aggregate Size: 3/8
Aggregate Source: Granite
RAP Stockpile: Continuous
Stockpile Size (tons):

Test Results

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.