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: 2022-06-17-69
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Petaluma Field Laboratory
Sample Organization Contact: (510) 385-6841
Type of Sample: Quality Control
Type of Material: Warm Mix Asphalt Technology
Sample Taken Date: 06/17/2022
Date that the sample was received by the laboratory/organization performing the testing: 06/17/2022
The quantity of what the sample constitutes: 3 cans.
A brief description of the sample: Chemical Additive
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Road Science
Warm Mix Asphalt Technology Type: Additive Technology
Warm Mix Asphalt Technology Product Name: Cecabase RT
WMA Mix Number:
DIME Test ID: 2022-06-17-69-1
Test Method: CTM 386-14: Method of Test for Determining Foaming Characteristics of Hot Bitumen (WMA)
Submitted By Organization: CT D04 - Petaluma Field Laboratory
Organization Address: 5675 Gibraltar Drive,
Organization City: Pleasanton
Organization State: CA
Organization Zipcode: 94588
Organization Email: glenn.cea@dot.ca.gov
Organization Phone: (510) 385-6841
Data has not been verified.
