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Sample Record for 2019-01-04-8

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

Project Information

Project ID: 66667 DEA: JMFPP EFIS: 0019000043 QA Service Level:
Work Description: Special project for submitting Sample information for JMF Prequalification Program.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2019-01-04-8
TL Number from the TL Form:
Sample Submitted By Organization: Sierra Pacific Materials
Sample Organization Contact: (805) 423-2327
Type of Sample: Quality Control
Type of Material: Antistrip Additive
Sample Taken Date: 01/04/2019
Date that the sample was received by the laboratory/organization performing the testing: 01/04/2019
The quantity of what the sample constitutes: JMF
A brief description of the sample: Pavegrip 519
From where was the sample collected: Manufacturer
Laboratory sample identification: TEM34SPLA
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Pretech

Material Information

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

Test Results

Test 1 of 1

DIME Test ID: 2019-01-04-8-1
Test Method: ASTM D2074-07r13: Standard Test Methods for Total, Primary, Secondary, and Tertiary Amine Values of Fatty Amines by Alternative Indicator Method (Amine)
Verified Date: 02/01/2019
Date Tested: 01/04/2019
Submitted By Organization: Sierra Pacific Materials
Organization Address: 45315 Lost Hills Road,
Organization City: Coalinga
Organization State: CA
Organization Zipcode: 93210
Organization Email:
Organization Phone: (805) 423-2327
General Comments for this Test: Only the Total Amine Value is reported on the 3512
Test Result Compliance:
Additional Comments When Verified:
Total Amine Value 500
Titration S amine value of secondary and tertiary amine groups 0
Titration T amine value of tertiary amine groups 0