Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 66667 DEA: JMFPP EFIS: 0019000043
QA Service Level:
DIST-CO-RTE-PM: 59---
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
DIME Sample ID: 2019-01-04-71
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Sample Organization Contact: (916) 227-7302
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: 3/4 HMA Type A
From where was the sample collected: Source
Laboratory sample identification: TEM34SPLA
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: SPM-Avenal
DIME Test ID: 2019-01-04-71-1
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: 04/12/2019
Date Tested: 01/04/2019
Submitted By Organization: CT HQ - Sacramento Hot Mix Asphalt Laboratory
Organization Address: 5900 Folsom Boulevard, Room 225,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: guadalupe.magana@dot.ca.gov
Organization Phone: (916) 227-7302
General Comments for this Test: Antistrip Additive ASTM D 2074
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
|
