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Sample Record for 2026-01-14-33

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

Project Information

Project ID: 995043 DEA: 010A1314 EFIS: 0117000223 QA Service Level: 1
DIST-CO-RTE-PM: 01-MEN-162-8/8.4
Work Description:
Location Description:
Contractor Name: GHILOTTI CONSTRUCTION COMPANY, INC.
Contractor Address: Unknown
Resident Engineer: Roozbeh Hadipour Structure Rep.: Behdad Saebi

Sample Information

DIME Sample ID: 2026-01-14-33
TL Number from the TL Form: 196KBP
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: 01/14/2026
Date that the sample was received by the laboratory/organization performing the testing: 01/21/2026
The quantity of what the sample constitutes: 100 Totes
A brief description of the sample: 2 pints 204,chp,zcure,8020
From where was the sample collected: Source
Laboratory sample identification: 26-001
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Kwik Bond Polymers, Benicia

Material Information

Mfg. Lot Number(s): 2620551650
Batch Number: 2620551650
Mix number: 2620551650

Test Results

Test 1 of 4

DIME Test ID: 2026-01-14-33-1
Test Method: ASTM D1475-Nov13: Standard Test Method For Density of Liquid Coatings, Inks, and Related Products
Verified Date: 02/19/2026
Date Tested: 02/16/2026
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:
Density Units pounds/gallons
Liquid Density (pounds per gallon) 9

Test 2 of 4

DIME Test ID: 2026-01-14-33-2
Test Method: ASTM D2369-Jul10: Standard Test Method for Volatile Content of Coatings
Verified Date: 02/19/2026
Date Tested: 02/16/2026
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:
Due to test owner's privacy settings, you do not have permission to view this test data.

Test 3 of 4

DIME Test ID: 2026-01-14-33-3
Test Method: ASTM D3828-12a: Standard Test Methods for Flash Point by Small Scale Closed Cup Tester
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 02/19/2026.
Reason: corrected

Test 4 of 4

DIME Test ID: 2026-01-14-33-4
Test Method: ASTM D3828-12a: Standard Test Methods for Flash Point by Small Scale Closed Cup Tester
Verified Date: 02/19/2026
Date Tested: 02/16/2026
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: Viscosity (ASTM D2196): 22 cps PCC-SSD Bond Strength (CTM 551): 536 psi (accepted based on supplier's result) Tack free time (ASTM C679): 240 mins.
Test Result Compliance: complies
Additional Comments When Verified:
Test Temperature (F) 212 °F
Specimen Volume no data0 mL
Test Time no data0 seconds
Ambient Barometic Pressure no data0 mm Hg