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Sample Record for 2022-11-03-29

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

Project Information

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

Sample Information

DIME Sample ID: 2022-11-03-29
TL Number from the TL Form:
Sample Submitted By Organization: Granite Construction Company - Tracy
Sample Organization Contact: (209) 234-3571
Type of Sample: Quality Control
Type of Material: Antistrip Additive
Sample Taken Date: 11/03/2022
Date that the sample was received by the laboratory/organization performing the testing: 11/03/2022
The quantity of what the sample constitutes: 1
A brief description of the sample: Morlife5000
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Ingevity

Material Information

Antistrip Type: LAS - liquid antistrip
Antistrip Additive Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2022-11-03-29-1
Test Method: ASTM D5095-91r13: Standard Test Method for Determination of the Nonvolatile Content in Silanes, Siloxanes and Silane-Siloxane Blends Used in Masonry Water Repellent Treatments (Content)
Verified Date: 11/03/2022
Date Tested: 11/03/2022
Submitted By Organization: Granite Construction Company - Tracy
Organization Address: 37400 South Bird Road,
Organization City: Tracy
Organization State: CA
Organization Zipcode: 95304
Organization Email: christopher.escobar@gcinc.com
Organization Phone: (209) 234-3571
General Comments for this Test: Submitted from JMF - Chris Escobar
Test Result Compliance:
Additional Comments When Verified:
Nonvolatile Content of Test Specimen 0.0 percent

Test 2 of 2

DIME Test ID: 2022-11-03-29-2
Test Method: ASTM D2074-07r13: Standard Test Methods for Total, Primary, Secondary, and Tertiary Amine Values of Fatty Amines by Alternative Indicator Method (Amine)
Verified Date: 11/03/2022
Date Tested: 11/03/2022
Submitted By Organization: Granite Construction Company - Tracy
Organization Address: 37400 South Bird Road,
Organization City: Tracy
Organization State: CA
Organization Zipcode: 95304
Organization Email: christopher.escobar@gcinc.com
Organization Phone: (209) 234-3571
General Comments for this Test: Submitted from JMF - Chris Escobar
Test Result Compliance:
Additional Comments When Verified:
Total Amine Value 600
Titration S amine value of secondary and tertiary amine groups no data
Titration T amine value of tertiary amine groups no data