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Jajsjdusjsjs

This document is a sample card used to collect information for material testing. It requests key information such as the material being tested, sample owner, testing category, related sample IDs, sample date, sample location, producer/supplier details, and space for additional comments. The card is used to properly identify and track sample information for testing purposes.

Uploaded by

Charilyn Echeverre
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
43 views2 pages

Jajsjdusjsjs

This document is a sample card used to collect information for material testing. It requests key information such as the material being tested, sample owner, testing category, related sample IDs, sample date, sample location, producer/supplier details, and space for additional comments. The card is used to properly identify and track sample information for testing purposes.

Uploaded by

Charilyn Echeverre
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Sample Card

* Required Field

t May Be Required Based on Material HiCAMS #:

* Material:

t Sample Owner: t Contract #:

* Testing Category: Field ID:

Check Sample? Y N (Circle One) Proj/Po/Wo#:

t Related Sample ID: Line Item #:

t Corr. Sample ID: RE:

# of Pieces: * Rep. Qty:

* To Be Used In:

Comment:

* Sample Date: * Sample By:

Truck/
* Sample From: Container #:

Structure Number: Route Desc:

Route Type: I US NC SR (Circle One) Alignment:

Route Number: * Location: Offset Dist:

Map Number: * Sta. From: + Sta. To: + +

County: Coastal Plain: Y N (circle One)

t Producer/Supplier: t Plant ID:

t Brand Name: Shelf Life Date:

t Date produced:
t Asphalt Mix/
t Concrete Mix: JMF ID:

t Alternate Ids Type: Prefix: Range: Description of Items:

Please use reverse side for test data, comments, and additional information. Check here if more on reverse

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