Engineering Materials Sample Transmittal
Project Name:
Project ID / Contract No.:
Transmittal No.:
Date:
Submitted By (Contractor/Supplier):
To (Consultant/Client):
Sample Details
No.
Material Description
Specification/Code
Batch/ Lot No.
Quantity
Supplier/ Manufacturer
Remarks
Purpose of Submittal:
Remarks / Additional Information:
Submitted By:
Name & Signature
Date
Received By:
Name & Signature
Date