Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000225 DEA: 023J3204 EFIS: 0222000034
QA Service Level: 1
DIST-CO-RTE-PM: 02-TRI-3,36,299-Var
Work Description: BRIDGE POLYESTER CONCRETE OVERLAY & METHACRYLATE DECK SEAL.
Location Description: TRINITY COUNTY AT VARIOUS LOCATIONS
Contractor Name: Q&D CONSTRUCTION, LLC
Contractor Address: Unknown
Resident Engineer: Edward Worden Structure Rep.: Unknown
DIME Sample ID: 2024-09-10-90
TL Number from the TL Form: 636958
Sample Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Sample Organization Contact: (916) 206-4373
Type of Sample: Quality Assurance
Type of Material: Methacrylate
Sample Taken Date: 09/10/2024
Date that the sample was received by the laboratory/organization performing the testing: 09/16/2024
The quantity of what the sample constitutes: 1 gallon
A brief description of the sample: 1 gallon can
From where was the sample collected: Other
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: KBP
DIME Test ID: 2024-09-10-90-1
Test Method: CONCLP 4-16: HMWM
Verified Date: 09/23/2024
Date Tested: 09/12/2024
Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joe.harline@dot.ca.gov
Organization Phone: (916) 206-4373
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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Viscosity (ASTM D 2196) Brookfield RVT with UL adapter, 50 RPM @ 77 deg F, 25 max cps @ 77 deg F
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19.5
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Specific gravity (ASTM D 1475) 0.90 min @ 77 deg F
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1.09
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Volatile content (ASTM D 2369) 30% max
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19
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Flash point (ASTM D 3828) more than 180 deg F
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210
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PCC - SSD bond strength (CA Test 551) 500 psi minimum @ 24 hours
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no data psi
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Tack free time, 400 minutes max
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no data minutes
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