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Sample Record for 2021-05-15-5

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

Project Information

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

Sample Information

DIME Sample ID: 2021-05-15-5
TL Number from the TL Form:
Sample Submitted By Organization: Granite Construction Company - Coastal
Sample Organization Contact: (408) 327-7023
Type of Sample: Informational
Type of Material: Warm Mix Asphalt Technology
Sample Taken Date: 05/15/2021
Date that the sample was received by the laboratory/organization performing the testing: 05/15/2021
The quantity of what the sample constitutes: 1 bags
A brief description of the sample: wma
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Integrity Rebar

Material Information

Warm Mix Asphalt Technology Type: Additive Technology
Warm Mix Asphalt Technology Product Name: Evotherm M1
WMA Mix Number:

Test Results