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Sample Record for 2026-01-28-29

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

Project Information

Project ID: 1000269 DEA: 070W6604 EFIS: 0722000360 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-47,110,405,605-Var
Work Description: METHACRYLATE, POLYESTER OVERLAY AND JOINT SEALS.
Location Description: LOS ANGELES COUNTY AT VARIOUS LOCATIONS
Contractor Name: VELARDE CONCRETE CONSTRUCTION, INC
Contractor Address: Unknown
Resident Engineer: Joahnna Vergara Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2026-01-28-29
TL Number from the TL Form: 197KBP
Sample Submitted By Organization: Kwik Bond Polymers
Sample Organization Contact: (760) 518-6064
Type of Sample: Quality Control
Type of Material: Polyester
Sample Taken Date: 01/28/2026
Date that the sample was received by the laboratory/organization performing the testing: 01/29/2026
The quantity of what the sample constitutes: 33 Totes
A brief description of the sample: 1 gallon can / PPC 1121 RESIN
From where was the sample collected: Source
Laboratory sample identification: 26-0058
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Kwik Bond Polymers, Benicia

Material Information

Mfg. Lot Number(s): AZ6A00103T
Batch Number: AZ6A00103T
Mix number: AZ6A00103T

Test Results

Test 1 of 6

DIME Test ID: 2026-01-28-29-1
Test Method: ASTM D2196-Feb15: Standard Test Methods for Rheological Properties of Non-Newtonian Materials by Rotational Viscometer
Verified Date: 02/26/2026
Date Tested: 02/02/2026
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 based on supplier's results.
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 2 of 6

DIME Test ID: 2026-01-28-29-2
Test Method: ASTM D1475-Nov13: Standard Test Method For Density of Liquid Coatings, Inks, and Related Products
Verified Date: 02/26/2026
Date Tested: 02/02/2026
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 based on supplier's results
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 6

DIME Test ID: 2026-01-28-29-3
Test Method: ASTM D638-Dec14: Standard Test Method for Tensile Properties of Plastics
Verified Date: 02/26/2026
Date Tested: 02/04/2026
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 based on supplier's results
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 4 of 6

DIME Test ID: 2026-01-28-29-4
Test Method: ASTM D2369-Jul10: Standard Test Method for Volatile Content of Coatings
Verified Date: 02/26/2026
Date Tested: 02/02/2026
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 based on supplier's results
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 5 of 6

DIME Test ID: 2026-01-28-29-5
Test Method: CTM 551-August 2012: Method of Test for Determining Suitability of Materials for Overlayment and Repair of Portland Cement Concrete Pavements and Structures
Verified Date: 02/26/2026
Date Tested: 02/03/2026
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 based on supplier's results
Test Result Compliance: complies
Additional Comments When Verified:
Curing history for Sample 1 24hr
Maximum applied load (P) for Sample 1 968 lb
Span length for Sample 1 9 in
Break location for Sample 1 bond
Specimen defects/notes for Sample 1 no data
Surface type for Sample 1 SSD
Modulus of rupture (R) for Sample 1 484 psi
Curing history for Sample 2 24hr
Maximum applied load (P) for Sample 2 1264 lb
Span length for Sample 2 9 in
Break location for Sample 2 bond
Specimen defects/notes for Sample 2 no data
Surface type for Sample 2 SSD
Modulus of rupture (R) for Sample 2 632 psi
Curing history for Sample 3 24hr
Maximum applied load (P) for Sample 3 1586 lb
Span length for Sample 3 9 in
Break location for Sample 3 bond
Specimen defects/notes for Sample 3 no data
Surface type for Sample 3 SSD
Modulus of rupture (R) for Sample 3 793 psi

Test 6 of 6

DIME Test ID: 2026-01-28-29-6
Test Method: SCAQMD 309-91-Feb93: Determination of Static Volatile Emissions
Verified Date: 02/26/2026
Date Tested: 02/02/2026
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 based on supplier's results.
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.