Sample Record for 2025-05-12-26
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 993815 DEA: 081C0814 EFIS: 0816000086
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-10-R60.7/R74.3
Work Description: I-10 PAVEMENT REHABILITATION (SEGMENT 1) PROJECT
Location Description: Coachella
Contractor Name: COFFMAN SPECIALTIES, INC
Contractor Address: 4375 JUTLAND DRIVE STE 260, SAN DIEGO CA 92117
Resident Engineer: Michael Sergah Structure Rep.: Al Alina
Sample Information
DIME Sample ID: 2025-05-12-26
TL Number from the TL Form: 158KBP
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: 05/12/2025
Date that the sample was received by the laboratory/organization performing the testing: 05/12/2025
The quantity of what the sample constitutes: 100 Totes
A brief description of the sample: 2 pints 204 chp,8020, zcure
From where was the sample collected: Source
Laboratory sample identification: 25-014
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Kwik Bond Polymers, Benicia
Material Information
Mfg. Lot Number(s): 2550351450
Batch number: 2550351450
Mix number: 2550351450
Test Results
Test 1 of 2
DIME Test ID: 2025-05-12-26-1
Test Method: CONCLP 4-16: HMWM
Submitted By Organization: Future Labs, LLC
Organization Address: 124 Lone Wolf Drive,
Organization City: Madison
Organization State: MS
Organization Zipcode: 39110
Organization Email:
Organization Phone:
This test has been superseded on 06/24/2025. The corrected test ID is: 2025-05-12-26-2
Reason: retested
Test 2 of 2
DIME Test ID: 2025-05-12-26-2
Test Method: CONCLP 4-16: HMWM
Verified Date: 06/24/2025
Date Tested: 06/24/2025
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: Accepted supplier's result for CA Test 551.
The test was superseded from test ID: 2025-05-12-26-1
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
|
|
Specific gravity (ASTM D 1475) 0.90 min @ 77 deg F
|
1.09
|
|
Volatile content (ASTM D 2369) 30% max
|
3.9
|
|
Flash point (ASTM D 3828) more than 180 deg F
|
212
|
|
PCC - SSD bond strength (CA Test 551) 500 psi minimum @ 24 hours
|
570
|
|
Tack free time, 400 minutes max
|
270
|
