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: 2019-01-04-86
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: Warm Mix Asphalt Technology
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: 1
A brief description of the sample: JMF 1/2 inch RAP
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Materials - Pleasanton
Warm Mix Asphalt Technology Type: Additive Technology
Warm Mix Asphalt Technology Product Name: Unknown
WMA Mix Number:
DIME Test ID: 2019-01-04-86-1
Test Method: CTM 386-14: Method of Test for Determining Foaming Characteristics of Hot Bitumen (WMA)
Verified Date: 05/13/2019
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:
Test Result Compliance:
Additional Comments When Verified:
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Expansion ratio (minimum)
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no data
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Half life (second minimum)
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no data
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