Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 208682 DEA: 083401U4 EFIS: 0800000609
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-138,138-6.2/6.4,2.3/R15.2
Work Description: WIDEN TO 4 LNS FR BEEKLEY RD TO JCT 15, ADD 1 LN EB FR PHELAN RD TO
Location Description: SAN BERNARDINO COUNTY ON ROUTE 138 NEAR PHELAN FROM 0.6 MILE WEST OF PHELAN ROAD TO THE JUNCTION OF ROUTE 15 AND ON ROUTE 2 FROM 0.1 MILE NORTH OF WILD HORSE CANYON ROAD TO ROUTE 138
Contractor Name: Flatiron
Contractor Address: 1770 LA COSTA MEADOWS DRIVE, SAN MARCOS CA 92078
Resident Engineer: Elvira Lenart Structure Rep.: Osama Abdalla
DIME Sample ID: 2017-02-13-3
TL Number from the TL Form: c594918
Sample Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Sample Organization Contact: (916) 206-4373
Type of Sample: Quality Assurance
Type of Material: Polyester
Sample Taken Date: 02/13/2017
Date that the sample was received by the laboratory/organization performing the testing: 01/11/2017
The quantity of what the sample constitutes: 2 tankers
A brief description of the sample: polyester resin
From where was the sample collected: Manufacturer
Laboratory sample identification: 17-011
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: reichhold azusa
DIME Test ID: 2017-02-13-3-1
Test Method: CONCLP 3-16: Polyester Resin
Verified Date: 05/25/2017
Date Tested: 02/20/2017
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: accepted Q.C. CT551 results 519psi
Test Result Compliance: complies
Additional Comments When Verified:
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Viscosity ASTM D 2196, RVT, No. 1 spindle 75 to 200 cps @ 20 RPM, 77°F
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105 cps
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Specific gravity ASTM D 1475 1.05 to 1.10 @ 77°F
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1.08
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Conditioning (18/25/50 + 5/70) Elogation ASTM D 638, minimum 35%
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51.4 %
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Tensile Strength ASTM D 638 Type 1 @ 0.45 in/min, minimum 2500 psi
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2966 psi
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Styrene ASTM D 2369 40% to 50 %
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46.8 %
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PCC - SSD bond strength CTM 551 500 psi minimun @ 24 hours
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no data0 psi
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Static Volatile Emissions, SCAQMD 309-91, maximum loss 1.0 grams
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0.5 grams
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