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Sample Record for 2021-04-06-50

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: 2021-04-06-50
TL Number from the TL Form:
Sample Submitted By Organization: RJ Noble Company
Sample Organization Contact: (714) 235-7028
Type of Sample: Quality Control
Type of Material: Antistrip Additive
Sample Taken Date: 04/06/2021
Date that the sample was received by the laboratory/organization performing the testing: 04/06/2021
The quantity of what the sample constitutes: 1 CAN
A brief description of the sample: 1 CAN OF PAVE GRIP 519
From where was the sample collected: Supplier
Laboratory sample identification:
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: 2021-04-06-50-1
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: 04/28/2021
Date Tested: 04/06/2021
Submitted By Organization: RJ Noble Company
Organization Address: 15505 E. LINCOLN AVE PO BOX 620,
Organization City: ORANGE
Organization State: CA
Organization Zipcode: 92865
Organization Email:
Organization Phone: (714) 235-7028
General Comments for this Test: the only test number on my C.O.C WAS TOTAL Amine value 339. not sure where I can get the other numbers.
Test Result Compliance:
Additional Comments When Verified:
Total Amine Value 339
Titration S amine value of secondary and tertiary amine groups 339
Titration T amine value of tertiary amine groups 339