Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 66669 DEA: JMF-DATA EFIS: JMF-DATA
QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for storing JMF sample data
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2024-11-04-96
TL Number from the TL Form:
Sample Submitted By Organization: Martin Marietta
Sample Organization Contact: (619) 455-3295
Type of Sample: Quality Control
Type of Material: Antistrip Additive
Sample Taken Date: 11/04/2024
Date that the sample was received by the laboratory/organization performing the testing: 11/04/2024
The quantity of what the sample constitutes: Quart Can of LAS
A brief description of the sample: LAS - Morelife 3300
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Ingevity
DIME Test ID: 2024-11-04-96-1
Test Method: ASTM D2074-07r13: Standard Test Methods for Total, Primary, Secondary, and Tertiary Amine Values of Fatty Amines by Alternative Indicator Method (Amine)
Submitted By Organization: Martin Marietta
Organization Address: 4211 Ponderosa Avenue, Suite C,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92124
Organization Email: andrew.suarez@martinmarietta.com
Organization Phone: (619) 455-3295
Data has not been verified.
