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Sample Record for 2017-03-06-11

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 211736 DEA: 042A4904 EFIS: 0400000827 QA Service Level: 1
DIST-CO-RTE-PM: 04-SF-280-R4.8/R6.2
Work Description: BRIDGE POLYESTER CONCRETE OVERLAY, DRAINAGE AND BARRIER RECONSTRUCTION
Location Description: THE CITY AND COUNTY OF SAN FRANCISCO AT VARIOUS LOCATIONS FROM 0.5 MILE NORTH OF ROUTE 280/101 SEPARATION TO 0.2 MILE SOUTH OF 20TH STREET OVERCROSSING
Contractor Name: Myers and Sons / RL Wadsworth JV
Contractor Address: 4600 Northgate Blvd, Ste 100, Sacramento, CA 95834
Resident Engineer: Jose David Structure Rep.: Peter Lam

Sample Information

DIME Sample ID: 2017-03-06-11
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Sample Organization Contact: (916) 206-4373
Type of Sample: Quality Control
Type of Material: Methacrylate
Sample Taken Date: 03/06/2017
Date that the sample was received by the laboratory/organization performing the testing: 03/08/2017
The quantity of what the sample constitutes: 80 drums and 16 totes
A brief description of the sample: 1 gallon can
From where was the sample collected: Source
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: kwik Bond, Benecia

Material Information

Mfg. Lot Number(s): 17-20-189288
Batch number: 1720189288
Mix number: 3229
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2017-03-06-11-1
Test Method: CONCLP 4-16: HMWM
Verified Date: 03/21/2017
Date Tested: 03/21/2017
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:
Test Result Compliance: complies
Additional Comments When Verified:
Viscosity (ASTM D 2196) Brookfield RVT with UL adapter, 50 RPM @ 77 deg F, 25 max cps @ 77 deg F 21.25 cps
Specific gravity (ASTM D 1475) 0.90 min @ 77 deg F 1.089
Volatile content (ASTM D 2369) 30% max 24.63 %
Flash point (ASTM D 3828) more than 180 deg F 210 F
PCC - SSD bond strength (CA Test 551) 500 psi minimum @ 24 hours 690 psi
Tack free time, 400 minutes max 240 minutes