Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 212861 DEA: 101H2804 EFIS: 1017000190
QA Service Level: 1
DIST-CO-RTE-PM: 10-STA-5-10.7/25.5
Work Description: BRIDGE DECK OVERLAY WITH POLYESTER CONCRETE, REPLACE APPROACH SLABS & JOINT SEALS IN STANISLAUS COUNTY ON STATE ROUTE 5 FROM FINK ROAD UC TO KHALSA ROAD UC.
Location Description: STANISLAUS AND MERCED COUNTIES.
Contractor Name: MYERS & SONS CONSTRUCTION, LLC
Contractor Address: 45 Morrison Avenue, Sacramento, CA 95838
Resident Engineer: Zubair Anwar Structure Rep.: Sai Kasaraneni
DIME Sample ID: 2025-02-24-16
TL Number from the TL Form: Sacramento Caltrans lab
Sample Submitted By Organization: Kwik Bond Polymers
Sample Organization Contact: (760) 518-6064
Type of Sample: Quality Control
Type of Material: Methacrylate
Sample Taken Date: 02/24/2025
Date that the sample was received by the laboratory/organization performing the testing: 02/25/2025
The quantity of what the sample constitutes: 100 Totes
A brief description of the sample: 2 pints 204, chp,8020, z-cure
From where was the sample collected: Source
Laboratory sample identification: 000153KBP
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Kwik Bond Polymers, Benicia
DIME Test ID: 2025-02-24-16-1
Test Method: CONCLP 4-16: HMWM
Verified Date: 05/06/2025
Date Tested: 04/29/2025
Submitted By Organization: Future Labs, LLC
Organization Address: 124 Lone Wolf Drive,
Organization City: Madison
Organization State: MS
Organization Zipcode: 39110
Organization Email: alexh@futurelabsllc.com
Organization Phone:
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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23.04
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Specific gravity (ASTM D 1475) 0.90 min @ 77 deg F
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9.1
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Volatile content (ASTM D 2369) 30% max
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3.02
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Flash point (ASTM D 3828) more than 180 deg F
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212
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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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270
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